A nurse is preparing to administer vancomycin 20 mg/kg by intermitent IV bolus every 8 hr to a child who weighs 64 lb. The amount available is vancomycin injection 50 mg/mL. How many mL of vancomycin should the child receive per dose? (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["11.6"]

To calculate this, first convert the child's weight from pounds to kilograms: 64 lb * (1 kg / 2.2 lb) = 29.09 kg. Then, calculate the dose of vancomycin in mg: 20 mg/kg * 29.09 kg = 581.8 mg.

Finally, divide the dose in mg by the concentration of the vancomycin injection to find the volume to administer: 581.8 mg / (50 mg/mL) = 11.636 mL/dose, which rounds to 11.6 mL when rounded to the nearest tenth.

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Free Nursing Study Resources

Correct Answer is ["1.1"]

Explanation

First, we need to calculate the total daily dose of methimazole for the child.

The child weighs 55 kg and the prescribed dose is 0.3 mg/kg/day, so the total daily dose is 55 kg * 0.3 mg/kg/day = 16.5 mg/day.

Since the medication is to be divided into equal doses every 8 hours, we need to divide the total daily dose by 3 to get the dose per administration: 16.5 mg/day / 3 = 5.5 mg per dose.

Finally, since each tablet contains 5 mg of methimazole, we need to divide the dose per administration by the amount of medication per tablet: 5.5 mg per dose / 5 mg per tablet = 1.1 tablets per dose.

Correct Answer is ["1.2"]

Explanation

Step 1 is to convert the child’s weight from pounds to kilograms since the dosage of morphine is prescribed in mg/kg. We know that 1 kg is approximately equal to 2.2 lb. So, the child’s weight in kg is:

51 lb ÷ 2.2 = 23.18 kg

Step 2 is to calculate the total amount of morphine the child should receive per dose. The doctor ordered 0.1 mg of morphine per kg of body weight. So, the total amount of morphine per dose is:

0.1 mg/kg × 23.18 kg = 2.318 mg

Step 3 is to calculate the volume of morphine injection to be administered. We know that the available morphine injection has a concentration of 2 mg/mL. So, the volume in mL is:

2.318 mg ÷ (2 mg/mL) = 1.159 mL

Rounding this to the nearest tenth gives 1.2 mL. So, the nurse should administer 1.2 mL of morphine injection per dose.

So, the correct answer is 1.2 mL.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.1"]

Explanation

Correct Answer is ["1.2"]

Explanation

A nurse is preparing to administer 7.5 mL of ampicillin 250 mg oral suspension to a toddler who has otitis media. The nurse should recognize that 7.5 mL is equivalent to how many teaspoons? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 0.45% sodium chloride 1,000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer furosemide 1 mg/kg IV bolus to a preschooler who weighs 36 lb. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.)

A nurse is preparing to administer magnesium hydroxide 0.85 g PO to a school-age child. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer haloperidol 19,000 mcg PO to a school-age child who has Tourete's syndrome. The nurse should recognize that this is equivalent to how many g? (Round the answer to the nearest thousandth. Use a leading zero if applicable. Do not use a trailing zero.)

A nurse is preparing to administer dextrose 5% in 0.9% sodium chloride 125 mL IV to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)