A nurse is instructed to administer 60 mEq of iron supplement to an anemic client tid. The iron supplement
bottle contains 30 mEq in 10 ml. How many milliliters of supplement should the nurse administer in a day?
60 ml
20 ml
30 ml
10 ml
10 ml
The Correct Answer is A
To determine the correct answer, we need to calculate the total volume of iron supplement that the nurse should administer in a day based on the prescribed dosage.
The nurse is instructed to administer 60 mEq of iron supplement three times a day (tid). The iron supplement bottle contains 30 mEq in 10 ml.
First, we need to determine the volume of supplement required for each dose:
Volume per dose = Total dosage / Number of doses per day Volume per dose = 60 mEq / 3 doses per day
Volume per dose = 20 mEq
Next, we need to calculate the total volume of supplements to be administered in a day:
Total volume per day = Volume per dose × Number of doses per day
Total volume per day = 20 mEq × 3 doses per day Total volume per day = 60 ml
Therefore, the correct answer is a. 60 ml. The nurse should administer 60 ml of the iron supplement in a day, dividing it into three equal doses of 20 ml each.
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Related Questions
Correct Answer is C
Explanation
To calculate the time required for the IV infusion to be completed, we need to determine the total volume of fluid and the infusion rate.
The volume of fluid is given as 0.75 L.
The infusion rate is given as 120 mL/hr.
First, we convert the volume from liters to milliliters:
0.75 L = 750 mL
Next, we divide the total volume by the infusion rate to find the time required:
Time (hours) = Volume (mL) / Rate (mL/hr)
Time = 750 mL / 120 mL/hr Time ≈ 6.25 hours
To convert the time to the 12-hour clock format, we subtract the decimal part from the hours and convert the remaining decimal fraction to minutes:
0.25 hours = 0.25 x 60 minutes = 15 minutes
Therefore, the infusion will be completed at 9:00 a.m. + 6 hours and 15 minutes, which is approximately
3:15 p.m.
Correct Answer is C
Explanation
A pediatric medication dose calculated from an adult dose should be avoided if the drug insert specifically states that the medication is not intended for pediatric use.
The drug insert or package labeling provides important information about the medication, including indications, dosage, contraindications, and safety considerations for different patient populations. If the drug insert explicitly mentions that the medication is not suitable for use in pediatric patients, it means that the medication has not been adequately studied or approved for use in children. In such cases, it is essential to follow the prescribing guidelines and seek alternative medications or dosage forms that are specifically approved for pediatric use.
A. If the drug insert does not specify a pediatric dose: In some cases, the drug insert may not provide a specific pediatric dose but still indicates that the medication is safe and effective for use in children. In such situations, a pediatric dose can be calculated based on appropriate dosage guidelines or established pediatric dosing principles.
B. If the child has gained or lost weight in the past month: Changes in a child's weight can affect medication dosing, especially if the medication dosage is weight-dependent. In such cases, the dose calculation should be adjusted based on the current weight of the child to ensure accurate and safe administration.
D. If the child has an elevated temperature that has not responded to treatment: The child's elevated temperature or lack of response to treatment does not directly impact the calculation of a pediatric medication dose based on an adult dose. However, the underlying condition causing the elevated temperature may influence the choice of medication or dosing considerations. It is important to consider the child's overall clinical condition, including the underlying illness, in determining the appropriate medication and dosage.
Therefore, the circumstance in which a pediatric medication dose calculated from an adult dose should be avoided is when the drug insert explicitly states that the medication is not intended for pediatric use (option c).
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