Fosamax (alendronate sodium) 60 mg by mouth is ordered. Fosamax 70 mg/75 mL is available. How many milliliters should the nurse administer to the patient?
Round to the nearest whole number.
56 mL
64 mL
65 mL
88 mL
The Correct Answer is B
Step 1: Determine the dosage ratio. 60 mg (ordered) ÷ 70 mg (available) = 0.8571 (rounded to 4 decimal places)
Step 2: Calculate the volume to administer. 0.8571 × 75 mL (available) = 64.2857 mL (rounded to 4 decimal places)
Step 3: Round to the nearest whole number. 64.2857 mL rounds to 64 mL
So, the nurse should administer 64 mL to the patient.
The correct answer is B. 64 mL.
The correct answer is B. 64 mL.
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Related Questions
Correct Answer is B
Explanation
We can use the following formula to calculate the infusion time:
Infusion time (in hours) = Remaining volume (in mL) / Infusion rate (in mL/hr)
First, let's convert the current time to minutes since we will be calculating the infusion time in minutes as well:
19:30 = 19 hours x 60 minutes/hour + 30 minutes = 1170 minutes Now we can substitute the given values into the formula:
Infusion time (in hours) = 376 mL / 40 mL/hr Infusion time (in hours) = 9.4 hours
To convert this to hours and minutes, we can separate the integer and decimal parts of the answer:
9 hours (integer part) and 0.4 hours x 60 minutes/hour = 24 minutes (decimal part)
Therefore, the infusion time is 9 hours and 24 minutes, and the infusion will finish at approximately 04:54 (19:30 + 9 hours and 24 minutes).
Correct Answer is C
Explanation
We need to calculate the patient's BSA using one of the available formulas. The most widely used formula is the Du Bois formula, which is:.
BSA = 0.007184 × W^0.425 × H^0.725.
where W is weight in kg and H is height in cm.. Plugging in the patient's weight and height, we get:. BSA = 0.007184 × 94.5^0.425 × 185^0.725
BSA = 2.15 m².
Now, we can use the physician's order to find the daily dose and the total dose of Platinol for this patient. The daily dose is:.
Daily dose = 20 mg/m²/day × BSA Daily dose = 20 mg/m²/day × 2.15 m² Daily dose = 43 mg/day.
The total dose for 5 days is:.
Total dose = Daily dose × Number of days Total dose = 43 mg/day × 5 days
Total dose = 215 mg.
Therefore, the patient's dose of Platinol would be 215 mg in total, or 43 mg per day for 5 days.
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