A child weighing 52.5 pounds receives a prescription for asparaginase 4,780 IU IV. The vial is labeled, "Asparaginase 10,000 IU single-use vial. For IM use, reconstitute in 2 mL sterile sodium chloride, and for IV use, reconstitute in 5 mL". How many mL should the nurse administer?
(Enter the numeric value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["2.4"]
Step 1 is to identify the ordered dose and the correct available concentration based on the route of administration.
Ordered Dose: 4,780 IU
Route: IV (Intravenous)
Available Strength: 10,000 IU
Reconstitution Volume for IV: 5 mL
Step 2 is to calculate the volume to administer in milliliters (mL)
Volume = (Ordered Dose ÷ Available Dose) × Available Volume
Volume = (4,780 ÷ 10,000) × 5
4,780 ÷ 10,000 = 0.478
0.478 × 5 = 2.39
Volume to administer = 2.39 mL
Step 3 is to round to the nearest tenth
2.39 rounds to 2.4
Answer: 2.4
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
To calculate the number of milliliters the nurse should administer, we can use the following formula:
Dose to administer = Ordered dose / Available dose
In this case, the ordered dose is 300 mg and the available dose is 1 g/2.5 mL. We can calculate the dose to administer as follows:
300 mg / 1000 mg/2.5 mL = 0.75 mL.
Rounded off: 0.8mL
Correct Answer is ["2.5"]
Explanation
The client weighs 172 pounds which is equivalent to 78.02 kg (1 kg = 2.20462 pounds).
The prescription for levothyroxine is 1.6 mcg/kg/day, so the client should receive 124.83 mcg of levothyroxine per day (1.6 mcg/kg/day * 78.02 kg).
The medication is available in 50 mcg scored tablets, so the nurse should administer 2.5 tablets per day (124.83 mcg / 50 mcg/tablet).

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