A nurse is preparing to administer rifampin 20 mg/kg/day PO in two divided doses to a client who weighs 132 lb and has tuberculosis. The amount available is rifampin 150 mg capsules. How many capsules should the nurse administer per dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["4"]
To determine how many capsules of rifampin the nurse should administer per dose, we can follow these steps:
Convert the client's weight from pounds to kilograms:
132 lb ÷ 2.2 = 59.9 kg (rounded to one decimal place)
Calculate the total daily dose of rifampin:
20 mg/kg/day × 59.9 kg = 1198 mg/day
Divide the total daily dose into two equal doses for administration:
1198 mg/day ÷ 2 = 599 mg per dose
Calculate the number of capsules needed per dose:
150 mg per capsule
599 mg per dose ÷ 150 mg per capsule = 3.9933...
Rounding to the nearest whole number, the nurse should administer 4 capsules per dose.
Therefore, the nurse should administer 4 capsules of rifampin per dose.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.1"]
Explanation
To calculate the dose of darbepoetin that the nurse should administer, we can follow these steps:
Convert the client's weight from pounds to kilograms:
198 lb ÷ 2.2 = 89.82 kg (rounded to two decimal places)
Calculate the dose of darbepoetin:
0.45 mcg/kg × 89.82 kg = 40.41 mcg
Determine the volume of darbepoetin needed using the available concentration:
40.41 mcg ÷ 300 mcg/mL = 0.1347 mL
Rounding to the nearest tenth, the nurse should administer 0.1 mL of darbepoetin subcutaneously once weekly.
Correct Answer is C
Explanation
Choice A reason: This is incorrect. Dry cough and nose bleed are not common side effects of gemfibrozil. They may indicate other conditions, such as allergies, infections, or bleeding disorders.
Choice B reason: This is incorrect. Constipation and dry skin are not common side effects of gemfibrozil. They may be caused by dehydration, dietary factors, or other medications.
Choice C reason: This is correct. Abdominal pain and jaundice are serious side effects of gemfibrozil. They may indicate liver damage, which can be fatal if not treated promptly. The client should report these symptoms to the prescriber immediately.
Choice D reason: This is incorrect. Hirsutism and flatulence are not common side effects of gemfibrozil. They may be associated with hormonal imbalances, digestive disorders, or other causes.
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