After reconstituting a vial of powdered medication with 10 mL of sterile water, the label now reads '500 mg/2 mL.' If the prescribed dose is 750 mg, how many milliliters should the nurse administer?
1.5 mL
3.0 mL
4.0 ml
2.5 mL
The Correct Answer is B
Calculation:
Available Concentration: 500 mg/2 mL
Ordered Dose: 750 mg
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume of Concentration
Volume to administer = (750 ÷ 500) × 2
Volume to administer = 1.5 × 2
Volume to administer = 3 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It determines how long the medication can be stored: While storage duration is related, the expiration date specifically indicates the period during which the medication maintains its potency and safety, not just storage time.
B. It indicates when the medication was manufactured: The manufacturing date provides production information, but it does not directly guide safe administration or effectiveness.
C. It specifies the lot number for recall tracking: Lot numbers are used for tracking and recalls, not for determining medication potency or safety.
D. It ensures the medication is used within its effective period: The expiration date indicates the timeframe in which the drug is guaranteed to be effective and safe. Administering medication past this date may reduce efficacy or increase the risk of adverse effects.
Correct Answer is C
Explanation
A. 18 gauge, 1 1/2 inch: An 18-gauge needle is very large and long, typically used for rapid fluid administration or blood transfusions. Using this size for an intradermal injection would cause significant tissue trauma and pain.
B. 21 gauge, 1 inch: A 21-gauge, 1-inch needle is commonly used for intramuscular injections. It is too thick and too long for placement within the dermal layer, increasing the risk of incorrect administration.
C. 26–27 gauge, 1/2 inch: Intradermal injections require a very fine, short needle to deposit medication just beneath the epidermis. A 26–27 gauge needle with a 1/2-inch length allows precise placement and minimizes tissue damage.
D. 23–25 gauge, 5/8 inch: This needle size is more appropriate for subcutaneous injections. It is longer and thicker than needed for intradermal administration and may penetrate too deeply into subcutaneous tissue.
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