A nurse is preparing to administer pyrazinamide 20 mg/kg PO to a client who weighs 165 lb and has tuberculosis. Available is pyrazinamide 500 mg tablets. How many tablets 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 ["3"]
To calculate how many tablets of pyrazinamide the nurse should administer, you can use the following steps:
Convert the client's weight from pounds (lb) to kilograms (kg):
Client's weight in kg = Client's weight in lb / 2.2 Client's weight in kg = 165 lb / 2.2 ≈ 75 kg
Determine the total dosage required based on the client's weight:
Total dosage = Client's weight in kg × Dosage (mg/kg) Total dosage = 75 kg × 20 mg/kg = 1500 mg
Determine the number of tablets needed:
Number of tablets = Total dosage / Tablet strength Number of tablets = 1500 mg / 500 mg/tablet = 3 tablets
The nurse should administer 3 tablets of pyrazinamide
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Store the medication at room temperature following reconstitution: This option is incorrect. While it provides information about the storage of the medication after reconstitution, it doesn't pertain to the reconstitution process itself. Storage information is essential but not part of the reconstitution process.
b. Use 0.9% sodium chloride solution as a diluent: This option is incorrect. The label instructions mention adding water for reconstitution, not sodium chloride solution. Using the wrong diluent can result in incorrect drug concentrations and potential harm to the patient.
c. Discard any remaining medication after 10 days: This option is correct. The label clearly states that the reconstituted medication should be discarded after 10 days. This is important information for safe medication administration.
d. Roll the vial gently in hands to mix the medication: This option is incorrect. The label instructions specify shaking vigorously to wet the powder and then adding the remaining water, followed by vigorous shaking. Rolling the vial gently is not mentioned in the label instructions.
Correct Answer is ["2.4"]
Explanation
To calculate the amount of calcitonin the nurse should administer, follow these steps:
Calculate the client's weight in kilograms: Weight in kilograms = Weight in pounds / 2.2 Weight in kilograms = 130 lb / 2.2 = 59.09 kg (rounded to two decimal places)
Calculate the total units of calcitonin needed: Total units = Weight in kilograms × Dose per kilogram Total units = 59.09 kg × 8 units/kg = 472.72 units
Determine the volume (ml) to administer using the concentration of the available calcitonin: Volume (ml) = Total units needed / Concentration (units/ml) Volume (ml) = 472.72 units / 200 units/ml = 2.36 ml
Rounded to the nearest tenth of a milliliter, the nurse should administer 2.4 ml of calcitonin.
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