A nurse is preparing to administer phenytoin 15 mg/kg PO as a loading dose to a client who weighs 264 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 ["1800"]
Convert weight from pounds (lb) to kilograms (kg):
We know 1 kg is equal to 2.2 lb.
Client's weight (kg) = 264 lb / 2.2 lb/kg = 120 kg (rounded to nearest whole number)
Calculate total phenytoin dosage:
Dosage (mg) = Client's weight (kg) × Dosage per kg (mg/kg)
Dosage (mg) = 120 kg × 15 mg/kg
Dosage (mg) = 1800 mg
Round the answer to the nearest whole number:
Rounded dosage = 1800 mg
Therefore, the nurse should administer 1800 mg of phenytoin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Desired dose: 100 mg
Concentration of available amoxicillin suspension: 200 mg/5 mL
Steps to find the volume to administer (in teaspoons):
Calculate the volume in milliliters (mL):
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
Volume (mL) = 100 mg / 200 mg/5 mL
Convert milliliters (mL) to teaspoons (tsp) considering rounding:
Since 1 teaspoon (tsp) is approximately equal to 5 mL, we can directly convert while considering rounding to avoid unnecessary precision loss.
Since 5 mL is divisible by 200 mg (desired dose), rounding won't affect the final answer significantly.
Therefore,
Volume (tsp) = Volume (mL) / Conversion factor (mL/tsp) (rounded to nearest tenth)
Volume (tsp) = 100 mg / (200 mg/5 mL) ≈ 0.5 tsp (rounded to nearest tenth)
Correct Answer is ["1.8"]
Explanation
Here's the breakdown:
Convert client weight to kilograms (kg):
Client weight (kg) = Client weight (lb) / 2.2 lb/kg
Client weight (kg) = 154 lb / 2.2 lb/kg
Client weight (kg) ≈ 70 kg (rounded to nearest whole number)
Calculate desired gentamicin dose in milligrams (mg):
Desired dose (mg) = Client weight (kg) x Dose per kg
Desired dose (mg) = 70 kg x 1 mg/kg
Desired dose (mg) = 70 mg
Determine the volume of gentamicin solution to administer:
Concentration of available solution: 40 mg/mL
Volume to administer (mL) = Desired dose (mg) / Concentration (mg/mL)
Volume to administer (mL) = 70 mg / (40 mg/mL)
Volume to administer (mL) = 1.75 mL (round to nearest tenth)
Therefore, the nurse should administer 1.8 mL of the gentamicin solution.
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