An 88 pound child with iron deficiency anemia has been prescribed ferrous fumarate 3 mg/kg/day PO three times daily. The medication is available in oral suspension of 100 mg/5 ml. The nurse is instructing the mother in measuring the correct dose. How many ml should the child receive for each dose?
The Correct Answer is ["2"]
Calculating the Ferrous Fumarate Dose
Problem: Administer ferrous fumarate 3 mg/kg/day PO three times daily to an 88-pound child. The available concentration is 100 mg/5 mL.
Steps:
Convert pounds to kilograms:
88 pounds x (1 kg / 2.20462 pounds) ≈ 39.9 kg
Calculate the daily dose:
3 mg/kg/day x 39.9 kg = 119.7 mg/day
Calculate the dose per administration (TID):
119.7 mg/day / 3 doses = 39.9 mg/dose
Set up a proportion:
We want to find the number of milliliters (mL) needed.
We know the desired dose (39.9 mg) and the concentration of the medication (100 mg/5 mL).
Proportion:
x mL / 39.9 mg = 5 mL / 100 mg
Cross-multiply:
100x = 199.5
Solve for x:
x = 199.5 / 100
x ≈ 2
Answer: The child should receive approximately 2 mL of ferrous fumarate oral suspension for each dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["36"]
Explanation
Calculating the Dobutamine Infusion Rate
Step 1: Convert grams to milligrams:
0.5 grams = 500 mg
Step 2: Calculate the concentration of dobutamine in the IV solution:
500 mg / 250 mL = 2 mg/mL
Step 3: Convert micro-grams to milligrams:
1200 mcg x (1 mg / 1000 mcg) = 1.2 mg
Step 4: Set up a proportion:
We want to find the infusion rate in mL/minute.
We know the desired dose rate (1.2 mg/minute) and the concentration of the medication (2 mg/mL).
Proportion:
x mL/minute / 1.2 mg/minute = 1 mL / 2 mg
Step 5: Cross-multiply and solve for x:
2x = 1.2
x = 0.6 mL/minute
Step 6: Convert mL/minute to mL/hour:
0.6 mL/minute x 60 minutes/hour = 36 mL/hour
Therefore, the nurse should program the infusion pump to deliver 36 mL/hour.
Correct Answer is ["2"]
Explanation
To determine the number of tablets needed, we can set up a proportion:
x tablets / 0.6 mg = 1 tablet / 0.4 mg
Cross-multiplying:
0.4x = 0.6
Solving for x:
x = 0.6 / 0.4
x = 1.5
Since we cannot administer a fraction of a tablet, we round up to the nearest whole number.
Therefore, the nurse should administer 2 tablets of nitroglycerin 0.4 mg sublingually if the client experiences chest pain
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