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 ["6 mL\/hour"]
Explanation
To find the answer, we can use the following steps:
- Convert the dosage of oxytocin from milliunits/min to units/hour by multiplying by 60
- Calculate the concentration of oxytocin in the IV bag by dividing the amount of oxytocin by the volume of solution
- Divide the dosage of oxytocin by the concentration of oxytocin in the IV bag to get the volume to be delivered
Using these steps, we get:
- (dosage of oxytocin in units/hour) = (2) x (60) = 120 milliunits/hour
- (concentration of oxytocin in IV bag) = (20) / (1000) = 0.02 units/mL
- (volume to be delivered in mL/hour) = (120 x 10^-3) / (0.02) = 6 mL/hour
Therefore, the nurse should program the infusion pump to deliver 6 mL/hour of oxytocin in lactated Ringer's to the patient.
Correct Answer is ["8 tablets"]
Explanation
The correct answer is 8 tablets. To find the answer, we can use the following steps:
- Convert the daily maximum dosage from grams to milligrams by multiplying by 1000
- Divide the daily maximum dosage in milligrams by the amount of calcium polycarbophil in one tablet
- Round the result to the nearest whole number
Using these steps, we get:
- (daily maximum dosage in mg) = (5) x (1000) = 5000 mg
- (number of tablets) = (5000) / (625) = 8 tablets
- (rounded number of tablets) = 8
Therefore, the client could safely take up to 8 tablets of calcium polycarbophil in one day.
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