A nurse is preparing to administer phenobarbital 6 mg/kg/day PO divided in equal doses every 12 hr to a client who weighs 44 lb. If the available phenobarbital elixir is 20 mg/5 mL, how many mL should the nurse administer per dose?
The Correct Answer is ["15 "]
Step 1: Convert the client’s weight from pounds to kilograms. 1 kg = 2.2 lb, so 44 lb ÷ 2.2 = 20 kg.
Step 2: Calculate the total daily dose of phenobarbital. The doctor ordered 6 mg/kg/day, so 6 mg/kg/day × 20 kg = 120 mg/day.
Step 3: Divide the total daily dose into two equal doses, as it is to be given every 12 hours. So, 120 mg/day ÷ 2 = 60 mg/dose.
Step 4: Calculate the volume of phenobarbital elixir to administer per dose. The available phenobarbital elixir is 20 mg/5 mL, so (60 mg ÷ 20 mg) × 5 mL = 15 mL. The nurse should administer 15 mL of phenobarbital elixir per dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.03 "]
Explanation
The nurse should administer 3.03 mL of cefazolin. Here’s the calculation: Step 1: The total dosage required is 1g.
Step 2: Each mL of the reconstituted solution contains 330 mg of cefazolin. Step 3: So, the volume to be administered is 1000 mg ÷ 330 mg/mL = 3.03 mL.
Correct Answer is ["83 "]
Explanation
Step 1 is to calculate the total volume to be infused in mL/min. This is done by dividing the total volume (250 mL) by the time in minutes (30 min). So, 250 mL ÷ 30 min = 8.33 mL/min. Step 2 is to convert mL/min to gtt/min using the drop factor. So, (8.33 mL/min) × (10 gtt/mL) = 83.3 gtt/min. Round off to the nearest whole number, the correct answer is 83 gtt/min.
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