A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus to a client who weighs 219 lb. Available is amikacin 10 mg/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.)

Answer and Explanation

The Correct Answer is ["50"]

Step 1 is to convert the client’s weight from pounds to kilograms, since the dosage is prescribed in mg/kg. Given that 1 kg = 2.2 lb, we calculate:

219 lb ÷ 2.2 = 99.5 kg

Rounding to the nearest whole number, the client’s weight is 100 kg.

Step 2 is to determine the total dosage of amikacin required. The prescribed dosage is 5 mg/kg, so we calculate:

5 mg/kg × 100 kg = 500 mg

Step 3 is to determine the volume to administer. The available concentration of amikacin is 10 mg/mL, so we divide:

500 mg ÷ 10 mg/mL = 50 mL

Thus, the correct amount to administer is 50 mL.

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Correct Answer is D

Explanation

Choice A rationale:

Meloxicam 15 mg PO daily is a standard dose for treating osteoarthritis and rheumatoid arthritis.

Choice B rationale:

Regular insulin 8 units subcutaneous before meals is a typical dose for managing blood glucose levels in diabetes.

Choice C rationale:

Docusate sodium 200 mg PO at bedtime is a common dose for preventing constipation.

Choice D rationale:

Fentanyl 25 mcg/hr transdermal patch is a potent opioid, and the dose should be carefully monitored. If the client has not been on opioid therapy, this dose might be too high.

Correct Answer is ["150"]

Explanation

Step 1 is to determine the rate of infusion. This is done by dividing the total volume by the total time. So, we have 1200 mL ÷ 8 hr = 150 mL/hr.

So, the correct answer is 150 mL/hr.

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A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus to a client who weighs 219 lb. Available is amikacin 10 mg/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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?.

Correct Answer is D

Explanation

A nurse is preparing to administer 0.9% sodium chloride 1,200 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["150"]

Explanation

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A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus to a client who weighs 219 lb. Available is amikacin 10 mg/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.)

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The package insert instructs reconstituting with 3.4 mL of sterile water to yield nafcillin 250 mg/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.)

A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus to a client who weighs 219 lb. Available is amikacin 10 mg/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.)