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"]
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 ["100"]
Explanation
To find the answer, we can use the following formula:
(mL/hour) = (mL/minute) x 60
Substituting the given values, we get:
(mL/hour) = (150 / 90) x 60
Simplifying, we get:
(mL/hour) = 1.667 x 60
(mL/hour) = 100
Therefore, the nurse should program the infusion pump to deliver 100 mL/hour of ganciclovir in IV bag.
Correct Answer is ["1.2"]
Explanation
To find the answer, we can use the following steps:
- Convert the client's weight from pounds to kilograms by dividing by 2.2
- Calculate the dose of enoxaparin in mg per administration by multiplying the weight in kg by the dosage in mg/kg
- Divide the dose in mg per administration by the concentration of enoxaparin in the prefilled syringe in mg/mL
- Multiply the volume in mL per administration by the number of administrations per day
- Round the result to the nearest tenth
Using these steps, we get:
- (weight in kg) = (132) / (2.2) = 60 kg
- (dose in mg per administration) = (1) x (60) = 60 mg
- (volume in mL per administration) = (60) / (60 / 0.6) = 0.6 mL
- (volume in mL per day) = (0.6) x (2) = 1.2 mL
- (rounded volume in mL per day) = 1.2 mL
Therefore, the nurse should administer 1.2 mL of enoxaparin per day.
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