A primary healthcare provider prescribes 2 mg/kg of pyrimethamine to a child with severe drooling. A nurse finds that the child weighs 44 lbs. Upon seeing the drug label, the nurse finds that 5 mL of medication contains 1 mg of the drug.
What should the nurse do to provide safe medication to the child?
Administer 1 cup of medication to the child
Administer 1 tsp of medication to the child
Administer 0.8 mg of medication to the child
Administer 2 mL of medication to the child
The Correct Answer is D
This answer is correct because it is based on a series of unit conversions and calculations. The nurse should follow these steps to provide safe medication to the child:
1) Convert the child's weight from pounds to kilograms by dividing by 2.2, since there are 2.2 lbs in 1 kg. The child weighs 20 kg.
2) Multiply the prescribed dose per kilogram by the child's weight in kilograms to get the total dose in milligrams. The child needs 40 mg of pyrimethamine.
3) Use the ratio given on the drug label to convert the total dose in milligrams to the volume in milliliters. The nurse can set up a proportion as follows:
1 mg / 5 mL = 40 mg / x mL
Cross-multiplying and solving for x gives:
x = 200 mL
Therefore, the nurse should administer 200 mL of medication to deliver 40 mg of pyrimethamine to the child.
4) Convert the volume in milliliters to the volume in teaspoons by dividing by 5, since there are 5 mL in 1 tsp. The nurse should administer 40 tsp of medication to the child.
5) Convert the volume in teaspoons to the volume in cups by dividing by 48, since there are 48 tsp in 1 cup. The nurse should administer 0.83 cups of medication to the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To find the total amount of heparin, you need to calculate the following:
- The concentration of heparin in units per milliliter
- The volume of heparin infused from 9:00 am to 11:00 am and from 11:00 am to 2:00 pm
- The amount of heparin in units from each time period and the total amount
First, divide the amount of heparin by the volume of D5W to get the concentration in units per milliliter:
25,000 units / 250 mL = 100 units/mL
Next, multiply the infusion rate by the duration to get the volume infused in each time period:
From 9:00 am to 11:00 am (2 hours), the infusion rate is 12 mL/hr:
12 mL/hr x 2 hours = 24 mL
From 11:00 am to 2:00 pm (3 hours), the infusion rate is 10 mL/hr:
10 mL/hr x 3 hours = 30 mL
Then, multiply the volume infused by the concentration to get the amount of heparin in units in each time period:
From 9:00 am to 11:00 am, the volume infused is 24 mL:
24 mL x 100 units/mL = 2400 units
From 11:00 am to 2:00 pm, the volume infused is 30 mL:
30 mL x 100 units/mL = 3000 units
Finally, add the amounts of heparin from each time period to get the total amount:
2400 units + 3000 units = 5400 units
Therefore, the patient received **5400 units** of heparin from 9:00 am to 2:00 pm.
Correct Answer is B
Explanation
To find the rate in mL/hr, you need to use the formula for infusion rate:
Infusion rate (mL/h) = Total volume (mL) / Time (h)
Since the total volume is 500 mL and the time is 2 hours, plug in these values into the formula:
Infusion rate (mL/h) = 500 mL / 2 h
Simplify and solve for the infusion rate:
Infusion rate (mL/h) = 250 mL/h
Therefore, the nurse should set the IV pump to deliver **250 mL/h** to infuse LR 500 mL over 2 hours.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.