A nurse is preparing to administer foscarnet 60 mg/kg via intermittent IV bolus to a client who weighs 126 lb. Available is foscarnet 6,000 mg in 500 mL of 0.9% sodium chloride solution. 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 ["286"]
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.
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Related Questions
Correct Answer is ["167"]
Explanation
To calculate the infusion rate for the IV pump, we need to divide the total volume of the solution (250 mL) by the infusion time (90 min). This gives us:
250 mL / 90 min = 2.778 mL/min
To convert this to mL/hr, we need to multiply by 60 min/hr. This gives us: 2.778 mL/min x 60 min/hr = 166.667 mL/hr
To round this to the nearest whole number, we look at the tenths place and see that it is 6, which is equal to or greater than 5, so we round up and drop the rest of the digits. This gives us:
167 mL/hr
Therefore, the nurse should set the IV pump to deliver 167 mL/hr.
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.
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