A nurse is preparing to administer quinine 25 mg/kg/day PO divided in equal doses every 8 hr to a school-age child who weighs 36 lb. Available is quinine 325 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["0.5"]

To calculate the dosage of quinine for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 36 pounds, which is approximately 16.36 kilograms (36/2.2). Next, calculate the total daily dose of quinine using the child's weight in kilograms: 25 mg/kg/day * 16.36 kg = 409 mg/day. Since the dose is divided into equal doses every 8 hours, divide the total daily dose by 3 to get the per dose amount: 409 mg/day / 3 doses/day = approximately 136.33 mg/dose. Finally, to find out how many 325 mg tablets the nurse should administer per dose, divide the per dose amount by the strength of the tablet: 136.33 mg/dose / 325 mg/tablet = approximately 0.42. Rounding to the nearest whole number, the nurse should administer half a tablet per dose.

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Correct Answer is ["0.2"]

Explanation

To calculate the amount of enoxaparin to administer, you would use the formula: (desired dose ÷ available dose) × available volume. For this scenario, it would be (20 mg ÷ 30 mg) × 0.3 mL, which equals 0.2 mL.

Correct Answer is ["0.042"]

Explanation

To convert milligrams (mg) to grams (g), one must remember that 1 gram is equivalent to 1000 milligrams. Therefore, to find the equivalent in grams for 42 mg, the amount in milligrams should be divided by 1000. Doing the math, 42 mg divided by 1000 gives 0.042 grams. When rounding this to the nearest thousandth, it remains 0.042, as the fourth decimal place is not significant enough to round up the third decimal place. Hence, 42 mg is equivalent to 0.042 g.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin 20 mg subcutaneously to a school-age child. The amount available is enoxaparin 30 mg/0.3 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.2"]

Explanation

A nurse is preparing to administer fluconazole 42 mg PO to an infant. The nurse should recognize that this is equivalent to how many g? (Round the answer to the nearest thousandth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.042"]

Explanation

A nurse is administering prochlorperazine 0.13 mg/kg IM to a child who weighs 55 lb. Available is prochlorperazine injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 0.9% sodium chloride 100 mL IV to infuse over 15 min. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer dextrose 5% in 0.45% sodium chloride 500 mL IV to infuse over 8 hr to a school-age child. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer methylphenidate 10 mg PO. Available is methylphenidate oral solution 5 mg/tsp. 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.)

A nurse is preparing to administer acetaminophen 400 mg PO to an adolescent. Available is acetaminophen liquid 160 mg/5 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.)

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)