A nurse is preparing to administer clindamycin phosphate IM 15 mg/kg/day divided in equal doses every 6 hr to an infant who weighs 21 lb. Available is clindamycin phosphate injection 150 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if applicable. Do not use a trailing zero.)
The Correct Answer is ["0.24"]
To calculate this, first convert the infant's weight from pounds to kilograms: 21 lb * (1 kg / 2.2 lb) = 9.55 kg.
Then, calculate the total daily dose of clindamycin phosphate in mg: 15 mg/kg/day * 9.55 kg/day = 143.25 mg/day.
Since the daily dose is divided into equal doses every 6 hours, calculate the dose per administration: 143.25 mg/day / (24 hr/day / 6 hr/dose) = 35.81 mg/dose.
Finally, divide the dose in mg by the concentration of the clindamycin phosphate injection to find the volume to administer: 35.81 mg / (150 mg/mL) = 0.2387 mL/dose, which rounds to 0.24 mL when rounded to the nearest hundredth.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.5"]
Explanation
First, we need to convert the child's weight from pounds to kilograms.
Since there are approximately 2.20462 pounds in 1 kilogram, 52 pounds is equivalent to 52/2.20462 =
23.587 kilograms.
The prescribed dose of digoxin is 7.5 mcg/kg/day, so for a child who weighs 23.587 kg, the total daily dose is 7.5 * 23.587 = 176.9 mcg/day.
Since the medication is available as a 50 mcg/mL elixir, the nurse should administer 176.9/50 = 3.538 mL/day.
Since the medication is to be administered once daily, the nurse should administer 3.5mL per dose. The answer is rounded to the nearest tenth as instructed.
Correct Answer is ["500"]
Explanation
To calculate this, first convert the infusion time from minutes to hours: 15 min * (1 hr / 60 min) = 0.25 hr.
Then, divide the volume of the infusion by the infusion time to find the rate: 125 mL / 0.25 hr = 500 mL/hr.
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