A nurse is preparing to administer tobramycin 3 mg/kg/day IM in three divided doses to a client who weighs 85 kg. The amount available is tobramycin 40 mg/ml. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["2.1"]
To calculate the amount of tobramycin to administer per dose, you need to follow these steps:
Step 1: Calculate the total daily dose. Total Daily Dose (mg) = Weight (kg) x Dose (mg/kg/day)
Total Daily Dose (mg) = 85 kg x 3 mg/kg/day = 255 mg/day
Step 2: Calculate the dose per divided dose (three divided doses). Dose per Divided Dose (mg) = Total Daily Dose (mg) / Number of Divided Doses
Dose per Divided Dose (mg) = 255 mg / 3 doses = 85 mg/dose
Step 3: Convert the dose to mL using the concentration. Dose (mL) = Dose (mg) / Concentration (mg/mL)
Dose (mL) = 85 mg / 40 mg/mL ≈ 2.125 mL
Rounded to the nearest tenth, the nurse should administer 2.1 mL per dose.
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Related Questions
Correct Answer is ["3"]
Explanation
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
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.
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