A physician orders Garamycin (gentamicin) 4 mg/kg/dose IV piggyback every 12 hours for a newborn weighing 7 lb, 11.2 oz. After reconstitution, the dosage is 20 mg/10 mL.
How many milliliters should the nurse administer to the patient?
1.4 mL
14 mL
7 mL
0.7 mL
0.7 mL
The Correct Answer is C
To answer this question, the nurse needs to perform the following steps:
1) Convert the patient's weight from pounds and ounces to kilograms, using the conversion factor of 1 pound = 0.45359237 kilograms¹². To do this, first convert the ounces to a fraction of a pound by dividing by 16, then add this fraction to the pounds, and then multiply by the conversion factor. For example:
7 lb, 11.2 oz = 7 + (11.2 / 16) lb
= 7.7 lb
= 7.7 × 0.45359237 kg
= 3.492 kg
2) Calculate the dose of Garamycin in milligrams, using the prescribed dose of 4 mg/kg and the patient's weight in kilograms. To do this, simply multiply the dose per kilogram by the weight in kilograms. For example:
4 mg/kg × 3.492 kg = 13.968 mg
3) Calculate the volume of Garamycin in milliliters, using the reconstituted dosage of 20 mg/10 mL and the dose in milligrams. To do this, use a proportion to find the unknown volume that corresponds to the known dose. For example:
20 mg / 10 mL = 13.968 mg / x mL Cross-multiply and solve for x: 20x = 139.68
x = 6.984 mL
x =7 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This number should be multiplied by inches in order to convert a patient's height measurement from inches to centimeters, because one inch is equal to 2.54 centimeters. To convert inches to centimeters, the formula is:
centimeters = inches × 2.54
For example, if a patient's height is 60 inches, then the height in centimeters is:
centimeters = 60 × 2.54
centimeters = 152.4
Therefore, the patient's height is 152.4 centimeters.
Correct Answer is A
Explanation
To calculate the gt/min flow rate, we need to determine the total number of drops and divide it by the total time in minutes.
First, let's convert the volume from liters to milliliters:
1 L = 1000 mL
Next, we need to determine the total number of drops. This can be calculated using the drop factor and the volume of the solution:
Total drops = Volume (mL) * Drop factor
= 1000 mL * 15 gt/mL
= 15000 gt
Now, we need to calculate the flow rate in gt/min. We divide the total drops by the total time in minutes: Flow rate = Total drops / Total time (min)
= 15000 gt / 360 min
≈ 41.67 gt/min (rounded to the nearest whole number)
Therefore, the correct answer is:
a. 41.6 gt/min
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