A nurse is caring for a client who is has a pulmonary embolism and has new prescription for enoxaparin 5mg/kg/dose subcutaneous every 12 hr. The client weighs 176 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number, Use a leading zero if it applies. Do not trailing zero.)
The Correct Answer is ["120"]
Given:
Desired dose: Enoxaparin 1.5 mg/kg/dose subcutaneously every 12 hours
Client's weight: 176 lb
To find:
Dose of enoxaparin per dose (in mg)
Step 1: Convert the client's weight from pounds to kilograms
1 pound (lb) is approximately equal to 0.453592 kilograms (kg).
Multiply by 0.453592:
176 lb x 0.453592 kg/lb ≈ 79.83 kg
Step 2: Calculate the dose of enoxaparin per dose
Dose (mg) = Desired dose (mg/kg) x Client's weight (kg)
Dose (mg) = 1.5 mg/kg x 79.83 kg = 119.75 mg
Step 3: Round to the nearest whole number
120mg
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12"]
Explanation
Given:
Desired infusion rate: 1,200 units/hr
Available concentration: Heparin 25,000 units in 250 mL DSW
To find:
Infusion rate (mL/hr)
Step 1: Calculate the concentration of heparin in mL/hr
Concentration (units/mL) = Total units / Total volume
Concentration (units/mL) = 25,000 units / 250 mL = 100 units/mL
Step 2: Calculate the infusion rate in mL/hr
Infusion rate (mL/hr) = Desired infusion rate (units/hr) / Concentration (units/mL)
Infusion rate (mL/hr) = 1,200 units/hr / 100 units/mL = 12 mL/hr
Correct Answer is ["50"]
Explanation
Given:
Total volume to infuse: 50 mL
Infusion time: 20 minutes
Drop factor of tubing: 20 gtt/mL
To find:
Drip rate (gtt/min)
Step 1: Calculate the total number of drops
Total drops = Total volume x Drop factor
Total drops = 50 mL x 20 gtt/mL = 1000 gtt
Step 2: Calculate the drip rate
Drip rate = Total drops / Infusion time in minutes
Drip rate = 1000 gtt / 20 minutes = 50 gtt/min
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