A client weighs 165 lb. She has a medication prescribed with a maximum daily dosage of 60 mg/kg/day. What is the maximum number of milligrams this this client can receive/day? (TYPE NUMBERS ONLY: Round to nearest whole number, Use commas as appropriate.)
The Correct Answer is ["4","500"]
Convert the client's weight from pounds (lb) to kilograms (kg)
Weight in kg = 165 lb / 2.2 lb/kg
= 75 kg
Maximum Daily Dosage:
Maximum daily dosage = 75 kg ´ 60 mg/kg/day
= 4,500 mg/day
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Human dignity: This refers to respecting the inherent worth of all individuals, including honoring patient preferences and privacy, rather than admitting one's own mistakes.
B. Social justice: Social justice involves promoting fairness and equity in health care delivery and access. While important, it doesn't capture the personal ethical responsibility demonstrated here.
C. Integrity: Integrity is demonstrated by being honest and accountable for one’s actions, including admitting errors, upholding professional standards, and taking responsibility to ensure safe and ethical care.
D. Altruism: Altruism is the concern for the well-being of others, often seen in selfless acts to help patients or colleagues, but it does not specifically reflect the act of reporting one’s own error.
Correct Answer is D
Explanation
A. Administration of hypotonic fluids: Hypotonic fluids would worsen hyponatremia by further diluting the sodium concentration in the blood. This intervention is contraindicated in patients with both low sodium levels and fluid overload.
B. Placement of an indwelling catheter: While a catheter may be used for monitoring output, it does not address fluid volume excess or hyponatremia. Invasive devices should only be used when clinically necessary and not as a primary treatment.
C. Administration of calcium gluconate: Calcium gluconate is used to manage hyperkalemia or hypocalcemia, not hyponatremia. It has no therapeutic effect in correcting sodium imbalance or fluid volume excess.
D. Fluid restriction: Restricting fluids is the appropriate treatment for a patient with hyponatremia and fluid overload. It helps prevent further dilution of sodium and reduces excess fluid in the body, aiding in restoring balance.
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