A primary healthcare provider prescribes 0.02 mg/kg tid glycopyrolate to a child with chronic severe drooling. A nurse finds that the child weighs 44 lb. Upon seeing the drug label, the nurse finds that 5 mL of medication contains 1 mg of drug.
What should the nurse do to provide safe medication to the child?
Administer 2 mL of medication to the child
Administer 1 tsp of medication to the child
Administer 0.8 mg of medication to the child
Administer 1 cup of medication to the child
The Correct Answer is A
First, we need to convert the weight of the child from pounds to kilograms:. 44 lb / 2.2046 = 19.958 kg (rounded to three decimal places).
Next, we can calculate the dose of glycopyrrolate:. 0.02 mg/kg x 19.958 kg = 0.39916 mg.
We should always check our calculation and verify that the dose is appropriate and safe for the child. In this case, the dose of 0.39916 mg seems reasonable for a child with chronic severe drooling..
Now, we need to determine how much medication to administer to the child. We know that 5 mL of medication contains 1 mg of drug. Therefore, to administer 0.39916 mg of glycopyrrolate, we need to administer:
(0.39916 mg / 1 mg) x 5 mL = 1.9958 mL.
We should round this dose to the nearest appropriate unit of measure. In this case, we can round to 2 mL to make it easier to measure and administer..
Therefore, the nurse should administer 2 mL of glycopyrrolate to the child three times a day (tid) to treat chronic severe drooling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To calculate the dose of brentuximab in mg that the client should receive, we need to multiply the weight of the client in kg by the prescribed dose of 1.8 mg/kg:.
Dose (in mg) = Weight (in kg) x Dose (in mg/kg).
Dose (in mg) = 60 kg x 1.8 mg/kg. Dose (in mg) = 108 mg.
Now we need to calculate the volume of medication to administer. Since the medication available is 50 mg per 10 mL, we can use proportion to calculate the volume:.
50 mg is to 10 mL as 108 mg is to X mL. 50/10 = 108/X.
Cross-multiplying, we get:. 50X = 108 x 10.
X = (108 x 10)/50. X = 21.6 mL.
Therefore, the nurse should administer 21.6 mL of brentuximab to the client.
Correct Answer is D
Explanation
According to the web, the abdomen is the preferred site for insulin injection because insulin is absorbed more quickly and predictably there.
This helps to maintain a stable blood glucose level and avoid hypoglycemia or hyperglycemia.
The other choices are not answers because:
Choice A (it is the least painful location for this injection) is incorrect because pain depends on various factors, such as needle size, injection technique, and individual sensitivity. The abdomen may not be the least painful location for everyone.
Choice B (it causes less bruising at the site) is incorrect because bruising can occur at any injection site if the needle damages a blood vessel. The abdomen does not have less blood vessels than other sites.
Choice C (there are fewer insulin side effects when given in this site) is incorrect because insulin side effects are not related to the injection site, but to the dose, type, and quality of insulin. The abdomen does not reduce the risk of side effects such as allergic reactions, weight gain, or low blood sugar.
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