A physician orders fosphenytoin 0.5 mg/kg IV once daily for a client. The client weighs 57 kg. What is the drug dosage that needs to be administered to the client?
7.6 mg
12.9 mg
28.5 mg
114.0 mg
The Correct Answer is C
To calculate the drug dosage, multiply the prescribed dose per kilogram by the client’s weight in kilograms:
0.5 mg/kg x 57 kg = 28.5 mg

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
First, we need to convert the weight of the child from pounds to kilograms:. 99 lb / 2.2046 = 44.91 kg (rounded to two decimal places).
Next, we can calculate the dose of carmustine:. 25 mg/kg x 44.91 kg = 1,122.75 mg.
We should always check our calculation and verify that the dose is appropriate and safe for the child. In this case, the dose of 1,122.75 mg seems reasonable for a child with Hodgkin disease..
Since the medication is prescribed daily, the nurse should administer the calculated dose of 1,122.75 mg of carmustine to the child every day.
Correct Answer is A
Explanation
According to the web, intradermal injections are administered into the dermis just below the epidermis at a 5 to 15 degree angle12 This angle allows for smooth piercing of the skin and induction of the medication into the dermis.
Option B (20 to 35 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option C (45 to 70 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the subcutaneous layer instead of the dermis.
Option D (90 degrees) is incorrect because it is too steep for an intradermal injection and may cause the medication to enter the muscle layer instead of the dermis.
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