A nurse is preparing to administer acetaminophen 15 mg/kg via intermittent IV bolus to a client who weighs 99 lb. The amount available is acetaminophen 1,000 mg/100 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["68"]
To calculate the mL of acetaminophen to administer, follow these steps:
Convert the client's weight from pounds (lb) to kilograms (kg):
Client's weight in kg = Client's weight in lb / 2.2 Client's weight in kg = 99 lb / 2.2 ≈ 45 kg
Determine the total dosage required based on the client's weight:
Total dosage = Client's weight in kg × Dosage (mg/kg) Total dosage = 45 kg × 15 mg/kg = 675 mg
Determine the mL to administer based on the available concentration:
Concentration (mg/mL) = 1,000 mg / 100 mL = 10 mg/mL
Calculate the mL to administer:
mL to administer = Total dosage (mg) / Concentration (mg/mL) mL to administer = 675 mg / 10 mg/mL = 67.5 mL
Round the answer to the nearest whole number:
The nurse should administer 68 mL of acetaminophen
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["83"]
Explanation
To calculate the manual IV flow rate in drops per minute (gtt/min), you can use the following formula:
Flow rate (gtt/min) = (Volume to be infused in mL / Time in minutes) * Drop factor (gtt/mL)
Given:
- Volume to be infused = 250 mL
- Time in minutes = 30 minutes
- Drop factor = 10 gtt/mL
Now, plug these values into the formula:
Flow rate (gtt/min) = (250 mL / 30 min) * 10 gtt/mL
Flow rate (gtt/min) = (8.33) * 10
Flow rate (gtt/min) ≈ 83.3
Rounded to the nearest whole number, the nurse should set the manual IV flow rate to deliver approximately 83 gtt/min.
Correct Answer is C
Explanation
a. Store the medication at room temperature following reconstitution: This option is incorrect. While it provides information about the storage of the medication after reconstitution, it doesn't pertain to the reconstitution process itself. Storage information is essential but not part of the reconstitution process.
b. Use 0.9% sodium chloride solution as a diluent: This option is incorrect. The label instructions mention adding water for reconstitution, not sodium chloride solution. Using the wrong diluent can result in incorrect drug concentrations and potential harm to the patient.
c. Discard any remaining medication after 10 days: This option is correct. The label clearly states that the reconstituted medication should be discarded after 10 days. This is important information for safe medication administration.
d. Roll the vial gently in hands to mix the medication: This option is incorrect. The label instructions specify shaking vigorously to wet the powder and then adding the remaining water, followed by vigorous shaking. Rolling the vial gently is not mentioned in the label instructions.
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