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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect because fluids should not be limited to 1000 mL daily for a client taking hydrochlorothiazide. Hydrochlorothiazide is a diuretic that causes the body to lose water and salt through urine. Limiting fluids can lead to dehydration, electrolyte imbalance, and kidney damage. The client should drink enough fluids to prevent thirst and dry mouth, and follow the doctor's advice on fluid intake.
Choice B reason: This choice is incorrect because this medication is not best taken at night for a client taking hydrochlorothiazide. Hydrochlorothiazide can cause frequent urination, which can disrupt the sleep cycle and cause fatigue. The client should take this medication in the morning or at least 4 hours before bedtime to avoid nocturia (nighttime urination).
Choice C reason: This choice is incorrect because dairy products should not be avoided while on this medication for a client taking hydrochlorothiazide. Hydrochlorothiazide can lower the level of calcium in the blood, which can cause muscle weakness, cramps, and osteoporosis. Dairy products are a good source of calcium and can help prevent calcium deficiency. The client should consume adequate amounts of calcium and vitamin D, and have their blood calcium level checked regularly.
Choice D reason: This choice is correct because the client should consume high potassium foods such as bananas and oranges while on this medication. Hydrochlorothiazide can lower the level of potassium in the blood, which can cause irregular heartbeat, muscle weakness, and numbness. Potassium-rich foods can help prevent potassium deficiency and maintain normal heart and muscle function. The client should also have their blood potassium level checked regularly and avoid salt substitutes that contain potassium.
Correct Answer is ["0.71"]
Explanation
To calculate how many milliliters (mL) of the reconstituted medication the nurse should administer, we can use the following formula:
Desired dose (in mg) / Stock concentration (in mg/mL) = Volume to administer (in mL)
Given information:
Desired dose of ceftriaxone: 250 mg
Stock concentration after reconstitution: 350 mg/mL
Now let's calculate the volume to administer:
250 mg / 350 mg/mL = 0.7143 mL
Rounding to the nearest hundredth, the nurse should administer 0.71 mL of the reconstituted medication.
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