A primary healthcare provider prescribes 25 mg per kilogram per dose of carmustine to a child with Hodgkin disease. A nurse finds that the child weighs 99 lbs. What dosage of medication should the nurse administer to the child daily?
1125 mg/dose
1237.5 mg/dose
2475 mg/dose
6544.5 mg/dose
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. 2 bottles. To find the number of bottles required, use the formula: (dose x duration) / (bottle size x tablet strength). In this case, (600 mg/day x 7 days) / (7 tablets/bottle x 300 mg/tablet) = 2 bottles.
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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