A primary healthcare provider prescribes 0.02 mg/kg tid glycopyrolate to a child with chronic severe drooling. A nurse finds that the child weighs 44 lb. Upon seeing the drug label, the nurse finds that 5 mL of medication contains 1 mg of drug.
What should the nurse do to provide safe medication to the child?
Administer 2 mL of medication to the child
Administer 1 tsp of medication to the child
Administer 0.8 mg of medication to the child
Administer 1 cup of medication to the child
The Correct Answer is A
First, we need to convert the weight of the child from pounds to kilograms:. 44 lb / 2.2046 = 19.958 kg (rounded to three decimal places).
Next, we can calculate the dose of glycopyrrolate:. 0.02 mg/kg x 19.958 kg = 0.39916 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 0.39916 mg seems reasonable for a child with chronic severe drooling..
Now, we need to determine how much medication to administer to the child. We know that 5 mL of medication contains 1 mg of drug. Therefore, to administer 0.39916 mg of glycopyrrolate, we need to administer:
(0.39916 mg / 1 mg) x 5 mL = 1.9958 mL.
We should round this dose to the nearest appropriate unit of measure. In this case, we can round to 2 mL to make it easier to measure and administer..
Therefore, the nurse should administer 2 mL of glycopyrrolate to the child three times a day (tid) to treat chronic severe drooling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C, 3 tablets. To calculate the number of tablets, divide the ordered dose by the available dose:
75 mg ÷ 25 mg = 3
The nurse should administer 3 tablets of Coumadin 25 mg to the patient to give a total dose of 75 mg.
Correct Answer is A
Explanation
The patient is ordered to receive 0.3 mg/kg of Nubain IV over 10 minutes. The patient weighs 148 lb, which is equivalent to 67.3 kg. To calculate the total amount of Nubain the patient should receive, multiply the weight by the dosage:
67.3 kg x 0.3 mg/kg = 20.19 mg
The Nubain is available in 10 mg/mL, which means there is 10 mg of Nubain in 1 mL of solution. To calculate how many milliliters of Nubain the patient should receive, divide the total amount of Nubain by the concentration:
20.19 mg / 10 mg per mL = 2.019 mL
To calculate how many milliliters per minute the nurse should administer, divide the total volume of Nubain by the infusion time:
2.019 mL / 10 minutes = 0.2019 mL per minute
Rounding to one decimal place, the nurse should administer 0.2 mL of Nubain per minute to the patient.
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