A nurse is preparing to administer cefazolin 500 mg IM every 8 hr. Available is cefazolin 1 g vial. The package insert instructs adding sterile water 2.5 mL to yield cefazolin 330 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1.5"]

First, we need to calculate the amount of cefazolin 500 mg in milligrams per milliliter (mg/mL) using the information provided:

Cefazolin concentration after reconstitution = 330 mg/mL Amount of cefazolin needed per dose = 500 mg

Now we can calculate the volume (mL) required for the dose:

Volume (mL) = Amount of cefazolin needed per dose / Cefazolin concentration after reconstitution

Volume (mL) = 500 mg / 330 mg/mL ≈ 1.52 mL

Rounded to the nearest tenth, the nurse should administer approximately 1.5 mL of cefazolin per dose.

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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 ["1.2"]

Explanation

To calculate the mL of phenobarbital to administer per dose, you can use the following steps:

Convert the client's weight from pounds to kilograms. There are approximately 2.2 pounds in 1 kilogram.
Weight in kg = 165 lb / 2.2 lb/kg ≈ 75 kg

Calculate the total daily dose based on the client's weight and the prescribed dose per kilogram:
Total daily dose = 2 mg/kg/day × 75 kg ≈ 150 mg/day

Since the dose is divided into two equal doses per day, calculate the dose per dose:
Dose per dose = Total daily dose / 2 = 150 mg / 2 = 75 mg

Now, you need to find out how many mL of phenobarbital 65 mg/mL corresponds to a dose of 75 mg:
Volume (mL) = Dose (mg) / Concentration (mg/mL) = 75 mg / 65 mg/mL ≈ 1.1538 mL

Rounded to the nearest tenth, the nurse should administer approximately 1.2 mL of phenobarbital per dose.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["83"]

Explanation

Correct Answer is ["1.2"]

Explanation

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