A nurse is preparing to administer belimumab 10 mg/kg via intermittent IV bolus to a client who weighs 136 lb. Available is belimumab 80 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.)
The Correct Answer is ["8"]
To calculate the amount of belimumab that the nurse should administer, we can use the following steps:
Convert the patient's weight from pounds to kilograms.
Multiply the patient's weight in kilograms by the dosage of belimumab (10 mg/kg) to find the total dosage required.
Determine the volume of the drug needed using the concentration of the available belimumab solution.
Given:
Patient's weight = 136 lb
Dosage of belimumab = 10 mg/kg
Available concentration of belimumab = 80 mg/mL
Let's calculate step by step:
Convert patient's weight from pounds to kilograms:
Patient's weight in kg = 136 lb × (1 kg / 2.2 lb) ≈ 61.8 kg
Calculate the total dosage required:
Total dosage = 10 mg/kg × 61.8 kg ≈ 618 mg
Determine the volume of the drug needed using the concentration of the available belimumab solution:
Volume of drug = Total dosage / Concentration of belimumab
Volume of drug = 618 mg / 80 mg/mL ≈ 7.7 mL
Rounding to the nearest whole number, the nurse should administer 8 mL of the belimumab.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Choice A reason: This is correct because high lipid levels, such as cholesterol and triglycerides, are a risk factor for cardiovascular disease. HMG-CoA reductase inhibitors, also known as statins, lower the production of cholesterol in the liver and reduce the risk of heart attack and stroke.
Choice B reason: This is incorrect because blood glucose of 60 is not related to the need for an HMG-CoA reductase inhibitor. Blood glucose of 60 is below the normal range and may indicate hypoglycemia, which is a low blood sugar level. Hypoglycemia can cause symptoms such as dizziness, confusion, sweating, and hunger.
Choice C reason: This is incorrect because platelets over 150,000 are not related to the need for an HMG-CoA reductase inhibitor. Platelets are blood cells that help with clotting and prevent bleeding. The normal range of platelets is 150,000 to 450,000 per microliter of blood. Platelets over 150,000 are within the normal range and do not indicate a problem.
Choice D reason: This is incorrect because low INR is not related to the need for an HMG-CoA reductase inhibitor. INR stands for international normalized ratio and is a measure of how long it takes the blood to clot. The normal range of INR is 0.8 to 1.2. Low INR means the blood clots faster than normal and may indicate a risk of thrombosis, which is a blood clot in a vein or artery.
Correct Answer is ["25"]
Explanation
To calculate the IV flow rate in drops per minute (gtt/min) for the administration of clindamycin, we can follow these steps:
First, we need to determine the total number of minutes for the infusion, which is given as 1 hour:
1 hour × 60 minutes/hour = 60 minutes
Next, we calculate the total number of drops needed for the infusion:
The total volume to be infused is 100 mL.
The drop factor is 15 gtt/mL.
100 mL × 15 gtt/mL = 1500 gtt
Calculate the IV flow rate in drops per minute:
1500 gtt ÷ 60 min = 25 gtt/min
Rounding to the nearest whole number, the nurse should set the IV flow rate to deliver 25 gtt/min.
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