An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["121"]
To calculate the dosage of gentamicin for a client who weighs 160 pounds, first convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client's weight in kilograms is approximately 72.73 kg (160 ÷ 2.2).
The prescription is for 5 mg/kg/day, so the total daily dosage is 363.65 mg (72.73 kg × 5 mg). Since the medication is to be divided into doses every 8 hours, divide the total daily dosage by 3, because there are three 8-hour intervals in 24 hours.
Therefore, each dose should be approximately 121.22 mg. 121 mg rounded off to the nearest whole number.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is []
Explanation
Alcohol withdrawal syndrome often presents with symptoms such as tremors, palpitations, and agitation, and can escalate to severe symptoms including hallucinations and seizures.
Assessing for hallucinations is important because it helps in identifying more severe withdrawal symptoms that may require intervention.
Implementing seizure precautions is critical as withdrawal seizures can be life-threatening.
Monitoring pulse and blood pressure helps evaluate the client’s physiological response to withdrawal and the effectiveness of interventions.
Correct Answer is D
Explanation
A. While the medication history can be relevant, it is not the most immediate assessment needed to address the confusion and possible infection.
B. The amount of serous drainage is important for wound assessment but does not directly address the cause of confusion.
C. Urinary output is useful for evaluating kidney function but may not be directly related to the client’s confusion and wound.
D. The white blood cell count is crucial for identifying an infection or inflammatory response, which could be related to both the confusion and the wound.
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