A nurse preparing to administer epoetin 150 units/kg subcutaneously to a client who weighs 118 lb. Available is epoetin injection 10,000 units/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.)
The Correct Answer is ["0.8"]
Convert the client's weight from pounds to kilograms:
There are 2.205 pounds in 1 kilogram.
118 lb = 118 lb / 2.205 lb/kg = 53.52 kg (rounded to two decimal places).
Determine the total dosage:
The client is prescribed 150 units/kg of epoetin.
The client weighs 53.52 kg.
The total dosage is 150 units/kg x 53.52 kg = 8,028 units.
Calculate the volume per dose:
The epoetin injection contains 10,000 units per mL.
The nurse needs to administer 8,028 units per dose.
To find the volume per dose:
10,000 units / 1 mL = 8,028 units / x mL
10,000x = 8,028
Divide each side by 10,000
x = 0.8028 mL
Round the answer to the nearest tenth:
Rounding 0.8028 to the nearest tenth gives us 0.8 mL.
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Related Questions
Correct Answer is ["0.71"]
Explanation
Determine the total dosage:
The client is prescribed 250 mg of ceftriaxone.
Calculate the volume per dose:
The ceftriaxone solution contains 350 mg per mL.
The nurse needs to administer 250 mg per dose.
To find the volume per dose:
350 mg / 1 mL = 250 mg / x mL
350x = 250
Dividing both sides by 350, we get:
x = 0.714 mL
Round the answer to the nearest hundredth:
Rounding 0.714 to the nearest hundredth gives us 0.71 mL.
Correct Answer is A
Explanation
A. Discard any remaining medication after 10 days:
Amoxicillin/clavulanate potassium oral suspension has a limited shelf life once reconstituted, typically around 10 to 14 days, after which the medication may lose its effectiveness and safety. The label instructions should be followed closely regarding the discard date. This helps to ensure that the patient receives the correct dosage of active ingredients and minimizes the risk of bacterial resistance or adverse effects due to degradation of the drug.
B. Use 0.9% sodium chloride solution as a diluent:
The proper diluent for reconstituting amoxicillin/clavulanate potassium oral suspension is usually water, not 0.9% sodium chloride (normal saline). Using the wrong diluent could alter the concentration of the medication, which could lead to improper dosing and ineffective treatment. The medication label will typically specify the exact diluent required, and it's important to follow these instructions precisely.
C. Store the medication at room temperature following reconstitution:
After reconstitution, amoxicillin/clavulanate potassium oral suspension should generally be stored in the refrigerator, not at room temperature, to maintain its stability and effectiveness. Storing it at room temperature could result in a decreased shelf life, causing the medication to degrade more quickly. Always follow the manufacturer's storage instructions to ensure the medication remains potent.
D. Roll the bottle gently in hands to mix the medication:
Amoxicillin/clavulanate potassium oral suspension should not be rolled in the hands to mix. Instead, it should be shaken well to ensure proper distribution of the medication. Rolling the bottle may not adequately mix the suspension, leading to uneven distribution of the active ingredients and inaccurate dosing. Shaking the bottle ensures that the medication is properly mixed and that each dose contains the correct amount of the drug.
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