A patient who weighs 154 pounds receives a prescription for epoetin alfa 50 units/kg subcutaneously 3 times a week. The medication is available in 2000 units/mL vial. How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["0.9 mL"]
The correct answer is 0.9 mL. To find the answer, we can use the following steps:
- Convert the patient's weight from pounds to kilograms by dividing by 2.2
- Multiply the weight in kilograms by the dosage in units/kg
- Divide the dose in units by the concentration in units/mL
- Round the result to the nearest tenth
Using these steps, we get:
- (weight in kg) = (154) / (2.2) = 70 kg
- (dose in units) = (50) x (70) = 3500 units
- (volume in mL) = (3500) / (2000) = 1.75 mL
- (rounded volume in mL) = 1.8 mL
Therefore, the nurse should administer 1.8 mL of epoetin alfa from the vial to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["83 gtt\/min"]
Explanation
To find the answer, we can use the following formula:
(gtt/min) = (mL/hour) x (gtt/mL) / 60
Substituting the given values, we get:
(gtt/min) = (1000 / 12) x (60) / 60
Simplifying, we get:
(gtt/min) = 83.333
(rounded gtt/min) = 83
Therefore, the nurse should regulate the infusion to deliver 83 gtt/minute of lactated Ringer's.
Correct Answer is ["240 mL"]
Explanation
To find the answer, we can use the following steps:
- Calculate the amount of water needed to dilute the formula to 75% by subtracting the volume of the prescribed solution from the volume of the full strength formula
- Subtract the amount of water from the volume of the can to get the amount of enteral nutrition formula
- Round the result to the nearest whole number
Using these steps, we get:
- (water in mL) = (320) - (240) = 80 mL
- (enteral nutrition formula in mL) = (240) - (80) = 160 mL
- (rounded enteral nutrition formula in mL) = 160 mL
Therefore, the nurse should use 160 mL of enteral nutrition formula from the can to prepare the solution.
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