A nurse is preparing to administer methylprednisolone sodium succinate 30 mg/kg via intermittent IV bolus to a client who weighs 169 lb. Available is methylprednisolone sodium succinate 125 mg/mL. 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 ["18"]
To calculate the dose of methylprednisolone sodium succinate that the nurse should administer, we can follow these steps:
Convert the client's weight from pounds to kilograms:
169 lb ÷ 2.2 = 76.82 kg (rounded to two decimal places)
Calculate the dose of methylprednisolone sodium succinate:
30 mg/kg × 76.82 kg = 2,304.6 mg
Determine the volume of methylprednisolone sodium succinate needed using the available concentration:
2,304.6 mg ÷ 125 mg/mL = 18.437 mL
Rounding to the nearest whole number, the nurse should administer 18 mL of methylprednisolone sodium succinate via intermittent IV bolus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This choice is incorrect because stomach distension and constipation are not common side effects of furosemide. They may be related to other causes, such as diet, fluid intake, or medication interactions. The nurse should assess the client's abdominal status and bowel habits and provide appropriate interventions, such as increasing fiber, fluids, or laxatives.
Choice B reason: This choice is incorrect because IV site irritation, redness, and pain are not specific side effects of furosemide. They may be caused by other factors, such as infection, infiltration, or phlebitis. The nurse should inspect the IV site and catheter and change them if needed. The nurse should also monitor the client's vital signs and blood cultures for signs of infection.
Choice C reason: This choice is correct because hearing loss or impairment is a rare but serious side effect of furosemide. It can occur due to damage to the inner ear or the auditory nerve. It may be temporary or permanent, depending on the dose and duration of furosemide therapy. The nurse should stop the infusion of furosemide and notify the provider immediately. The nurse should also assess the client's hearing and balance and provide safety measures.
Choice D reason: This choice is incorrect because frequent urination is an expected effect of furosemide. Furosemide is a diuretic that increases the excretion of water and electrolytes through the urine. It helps to reduce fluid overload and edema in clients with heart failure. The nurse should measure and record the client's intake and output and monitor the client's fluid and electrolyte status.
Correct Answer is ["0.75"]
Explanation
To calculate the amount of heparin to administer, we can use the following formula:
Amount to administer (mL) = (Desired dose (units) / Available dose (units/mL))
Plugging in the given values:
Amount to administer (mL) = (7,500 units / 10,000 units/mL)
Now, let's solve for the amount to administer:
Amount to administer (mL) = (7,500 / 10,000) = 0.75 mL
So, the nurse should administer 0.75 mL of heparin subcutaneously.
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