A nurse is preparing to administer ceftriaxone 250 mg IM to an adult client who has a gonococcal infection. The label on the vial indicates to reconstitute each vial with sterile water 2.1 mL to yield ceftriaxone 350 mg/mL. How many mL of the reconstituted medication should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["0.71"]
To calculate how many milliliters (mL) of the reconstituted medication to administer, you need to determine the desired dose and then divide it by the concentration of the reconstituted solution.
The label indicates that each vial, when reconstituted, contains ceftriaxone 350 mg/mL.
The desired dose is 250 mg.
So, you can use the following formula:
Volume to administer (mL) = Desired dose (mg) / Concentration of the reconstituted solution (mg/mL)
Volume to administer (mL) = 250 mg / 350 mg/mL
Volume to administer (mL) = 0.7143 mL (rounded to the nearest hundredth)
Therefore, the nurse should administer approximately 0.71 mL of the reconstituted ceftriaxone solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["145"]
Explanation
To calculate the dose of metronidazole for a client who weighs 212 lb, the nurse needs to convert the weight to kilograms and multiply it by the prescribed dose of 7.5 mg/kg.
One kilogram is equal to 2.2 lb, so the client's weight in kilograms is 212/2.2 = 96.36 kg. The dose of metronidazole in milligrams is 96.36 x 7.5 = 722.7 mg.
The nurse needs to find out how many mL of the available solution contain this amount of metronidazole.
The available solution has a concentration of 500 mg/100 mL, so the nurse can use a proportion to solve for the volume: 500/100 = 722.7/x.
Cross-multiplying and solving for x gives x = 722.7 x 100 / 500 = 144.54 mL.
The nurse should round the answer to the nearest whole number, so the final answer is 145 mL.
The nurse should administer 145 mL of metronidazole via intermittent IV bolus to the client.
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