A nurse is preparing to administer cyclosporine 5 mg/kg IV bolus to a client who weighs 143 lb. Available is cyclosporine injection 50 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)
The Correct Answer is ["6.5"]
To answer this question, we need to perform some calculations. First, we need to convert the client's weight from pounds to kilograms. We can do this by dividing 143 by 2.2, which gives us 65 kg. Next, we need to multiply the dose of cyclosporine by the client's weight to get the total amount of medication needed. We can do this by multiplying 5 mg/kg by 65 kg, which gives us 325 mg. Finally, we need to divide the total amount of medication by the concentration of the injection to get the volume to administer. We can do this by dividing 325 mg by 50 mg/mL, which gives us 6.5 mL. Therefore, the nurse should administer 6.5 mL of cyclosporine injection to the client.
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Related Questions
Correct Answer is ["286"]
Explanation
To solve this problem, the nurse needs to convert the client's weight from pounds to kilograms, and then use the formula:
mL = (mg/kg x kg) / (mg/mL)
The client's weight in kilograms is:
126 lb / 2.2 lb/kg = 57.27 kg
The concentration of foscarnet in mg/mL is:
6,000 mg / 500 mL = 12 mg/mL
Plugging these values into the formula, we get:
mL = (60 mg/kg x 57.27 kg) / (12 mg/mL)
mL = (3,436.2 mg) / (12 mg/mL)
mL = 286.35 mL
Therefore, the nurse should administer 286 mL of foscarnet.

Correct Answer is ["1.9"]
Explanation
To calculate the dose of dexamethasone, we need to convert the client's weight from pounds to kilograms. One pound is equal to 0.454 kg, so 132 lb is equal to 132 x 0.454 = 59.928 kg. The prescribed dose is 0.5 mg/kg/day, so the daily dose is 0.5 x 59.928 = 29.964 mg. This dose is divided equally every 6 hours, so the dose per administration is 29.964 / 4 = 7.491 mg. The concentration of the drug is 4 mg/mL, so the volume per administration is 7.491 / 4 = 1.873 mL. Rounded to the nearest tenth, the nurse should administer 1.9 mL per dose.
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