Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child? (Enter the numerical value only. If rounding required, round to the nearest tenth.)
The Correct Answer is ["0.7 mL"]
To find the answer, we can use the following steps:
- Convert the child's weight from pounds to kilograms by dividing by 2.2
- Calculate the dose of filgrastim in mcg by multiplying the weight in kg by the dosage in mcg/kg/day
- Divide the dose in mcg by the concentration of filgrastim in mcg/mL
- Round the result to the nearest tenth
Using these steps, we get:
- (weight in kg) = (88) / (2.2) = 40 kg
- (dose in mcg) = (5) x (40) = 200 mcg
- (volume in mL) = (200) / (300) = 0.667 mL
- (rounded volume in mL) = 0.7 mL
Therefore, the nurse should administer 0.7 mL of filgrastim to this child daily.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5 mL"]
Explanation
To find the answer, we can use the following steps:
- Calculate the dose of dalteparin in units by multiplying the weight in kg by the dosage in units/kg
- Divide the dose in units by the concentration in units/mL
- Round the result to the nearest tenth
Using these steps, we get:
- (dose in units) = (60) x (200) = 12,000 units
- (volume in mL) = (12,000) / (25,000) = 0.48 mL
- (rounded volume in mL) = 0.5 mL
Therefore, the nurse should administer 0.5 mL of dalteparin from the vial to the client.
Correct Answer is ["42"]
Explanation
To find the answer, we can use the following formula:
(gtt/min) = (mL/hour) x (gtt/mL) / 60
Substituting the given values, we get:
(gtt/min) = (1000 / 8) x (20) / 60
Simplifying, we get:
(gtt/min) = 125 x 20 / 60
(gtt/min) = 41.667
(rounded gtt/min) = 42
Therefore, the nurse should regulate the infusion to deliver 42 gtt/minute of lactated Ringer's.
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