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 ["800"]
Explanation
To find the answer, we can use the following steps:
- Convert the child's weight from pounds to kilograms by dividing by 2.2
- Multiply the weight in kilograms by the dosage in mg/kg
- Round the result to the nearest whole number
Using these steps, we get:
- (weight in kg) = (44) / (2.2) = 20
- (dose in mg) = (40) x (20) = 800
- (rounded dose in mg) = 800
Therefore, the nurse should administer 800 mg of vancomycin to the child.
Correct Answer is ["15"]
Explanation
To find the answer, we can use the following steps:
- Calculate the infusion rate in mL/hour by dividing the volume of IV fluids by the time of infusion
- Calculate the infusion rate in mL/minute by dividing the infusion rate in mL/hour by 60
- Multiply the infusion rate in mL/minute by the drop factor in gtt/mL to get the infusion rate in gtt/minute
- Round the result to the nearest whole number
Using these steps, we get:
- (infusion rate in mL/hour) = (630) / (7) = 90 mL/hour
- (infusion rate in mL/minute) = (90) / (60) = 1.5 mL/minute
- (infusion rate in gtt/minute) = (1.5) x (10) = 15 gtt/minute
- (rounded infusion rate in gtt/minute) = 15
Therefore, the nurse should regulate the infusion to deliver 15 gtt/minute of IV fluids to the client.
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