The healthcare provider prescribes filgrastim 5 mcg/kg/day subcutaneously for a client who weighs 132 pounds and has just completed chemotherapy. The medication is available in 480 mcg/0.8 mL. How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["0.5 mL"]
To find the answer, we can use the following steps:
- Convert the client'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) = (132) / (2.2) = 60 kg
- (dose in mcg) = (5) x (60) = 300 mcg
- (volume in mL) = (300) / (480 / 0.8) = 0.5 mL
- (rounded volume in mL) = 0.5 mL
Therefore, the nurse should administer 0.5 mL of filgrastim to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
The correct answer is 2 ounces. To find the answer, we can use the following steps:
- Calculate the volume of magnesium hydroxide in mL by dividing the dose in mg by the concentration in mg/mL
- Convert the volume in mL to ounces by multiplying by 0.0338
- Round the result to the nearest whole number
Using these steps, we get:
- (volume in mL) = (4800) / (400) = 12 mL
- (volume in ounces) = (12) x (0.0338) = 0.4056 ounces
- (rounded volume in ounces) = 2 ounces
Therefore, the nurse should instruct the client to take 2 ounces of magnesium hydroxide Saline Laxative, USP with each dose.
Correct Answer is ["18 mL\/hour"]
Explanation
To find the answer, we can use the following steps:
- Convert the client's weight from pounds to kilograms by dividing by 2.2
- Calculate the dosage of dobutamine in mg/hour by multiplying the weight in kg by the rate in mcg/kg/min and by 60
- Divide the dosage of dobutamine in mg/hour by the concentration of dobutamine in the solution in mg/mL
- Round the result to the nearest whole number
Using these steps, we get:
- (weight in kg) = (165) / (2.2) = 75 kg
- (dose in mg/hour) = (2) x (75) x (60) = 9000 mcg/hour
- (dose in mg/hour) = (9000 x 10^-3) = 9 mg/hour
- (volume in mL/hour) = (9) / (50 / 1000) = 180 mL/hour
- (rounded volume in mL/hour) = 18 mL/hour
Therefore, the nurse should set the infusion pump to deliver 18 mL/hour of dobutamine hydrochloride in D5W.
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