A nurse is preparing to administer midazolam 0.2 mg/kg via IV bolus now. The client weighs 220 lb. How many mg 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 ["20"]
To calculate the dose of midazolam to administer, we need to convert the client's weight from pounds to kilograms, and then multiply by the dose per kilogram.
Given: Client weight = 220 lb
Dose of midazolam = 0.2 mg/kg
First, let's convert the client's weight from pounds to kilograms:
1 lb ≈ 0.453592 kg (approximately 0.45 kg, for simplicity)
Client weight in kilograms ≈ 220 lb × 0.45 kg/lb ≈ 99 kg
Now, let's calculate the dose of midazolam:
Dose = Weight (in kg) × Dose per kg Dose ≈ 99 kg × 0.2 mg/kg = 19.8 mg
Rounded to the nearest whole number, the nurse should administer approximately 20 mg of midazolam.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. "Describe what the pill looks like":
This is the correct response. Asking the client to describe the pill they usually take helps to verify whether the medication being administered matches the client's usual medication. It allows the nurse to confirm whether the client's concern is due to a legitimate difference in appearance or if there might be a potential medication error.
A. "This pill is probably from a different lot number than yours at home":
While lot numbers can vary between batches of medication, this response does not directly address the client's concern about the difference in appearance. It's important to prioritize addressing the client's immediate concerns and verifying the medication's identity.
C. "This hospital might use a different manufacturer, but the medication is the same":
While this response reassures the client about the medication's efficacy, it does not directly address the client's concern about the difference in appearance. Verifying the medication's identity based on the client's description is essential before proceeding with administration.
D. "This is the medication prescribed by your provider":
This response does not address the client's concern about the difference in appearance and may not alleviate their apprehension. Verifying the medication's identity based on the client's description is necessary to ensure the correct medication is administered.
Correct Answer is D
Explanation
A. The client's blood pressure is within the expected reference range - While blood pressure monitoring is important during treatment with certain medications, such as antihypertensives, it is not a direct indicator of the effectiveness of sertraline, which is an antidepressant medication.
B. The client's legs are not swollen - Swelling of the legs may be a sign of fluid retention, which can occur with various conditions and medications. However, it is not a specific indicator of the effectiveness of sertraline.
C. The client reports a recent weight loss - Weight changes, including weight loss or gain, can occur as side effects of sertraline. However, weight changes alone do not necessarily indicate the effectiveness of the medication in treating depression.
D. The client reports an increase in mood - Improvement in mood, reduction in depressive symptoms, and overall sense of well-being are primary indicators of the effectiveness of sertraline and other antidepressant medications in treating depression. Therefore, the client reporting an increase in mood suggests that the medication may be effective in managing their symptoms.
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