A nurse is preparing to administer lorazepam 0.05 mg/kg IM to a client who weighs 132 lb. Available is lorazepam solution 2mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tent. Use a leading zero if it applies. Do not use a trailing zero)
The Correct Answer is ["1.5"]
Convert the Client's Weight from Pounds to Kilograms:
1 kg = 2.205 lbs
Weight in kg = 132 lbs / 2.205 lbs/kg
Weight in kg ≈ 59.86 kg
Calculate the Total Dose of Lorazepam Needed:
Dose = 0.05 mg/kg x 59.86 kg
Dose ≈ 2.993 mg
Calculate the Volume of Lorazepam to Administer:
Available concentration = 2 mg/mL
Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)
Volume (mL) = 2.993 mg / 2 mg/mL
Volume (mL) ≈ 1.4965 mL
Round to the Nearest Tenth:
1.5 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
Calculate the Total Infusion Time in Minutes:
The infusion is to be delivered over 4 hours.
There are 60 minutes in 1 hour.
Total infusion time: 4 hours x 60 minutes/hour = 240 minutes
Calculate the Drip Rate (gtt/min):
We'll use the following formula:
Drip Rate (gtt/min) = (Total Volume (mL) x Drop Factor (gtt/mL)) / Total Infusion Time (minutes)
Plug in the Values and Calculate:
Drip Rate (gtt/min) = (100 mL x 15 gtt/mL) / 240 minutes
Drip Rate (gtt/min) = 1500 gtt / 240 minutes
Drip Rate (gtt/min) = 6.25 gtt/min
Round to the Nearest Whole Number:
6 gtt/min
Correct Answer is ["1.9"]
Explanation
Order: Dexamethasone 0.5 mg/kg/day IM, divided equally every 6 hours
Client Weight: 132 lbs
Available Solution: Dexamethasone 4 mg/mL
Desired Dose: mL per dose
Step 1: Convert Client Weight to Kilograms (kg)
1 kg = 2.2 lbs
Client Weight in kg: 132 lbs / 2.2 lbs/kg = 60 kg
Step 2: Calculate the Total Daily Dose
Ordered Dose: 0.5 mg/kg/day
Client Weight: 60 kg
Total Daily Dose: 0.5 mg/kg/day x 60 kg = 30 mg/day
Step 3: Determine the Number of Doses per Day
Doses are given every 6 hours.
Hours in a Day: 24 hours
Number of Doses: 24 hours / 6 hours/dose = 4 doses
Step 4: Calculate the Dose per Administration
Total Daily Dose: 30 mg/day
Number of Doses: 4 doses
Dose per Administration: 30 mg / 4 doses = 7.5 mg/dose
Step 5: Calculate the Volume to Administer per Dose
Dose per Administration: 7.5 mg
Concentration: 4 mg/mL
Volume to Administer: 7.5 mg / 4 mg/mL = 1.875 mL
Step 6: Round to the Nearest Tenth
The calculated volume is 1.875 mL.
Rounded to the nearest tenth: 1.9 mL
Answer: 1.9 mL
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