An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["121"]
To calculate the dosage of gentamicin for a client who weighs 160 pounds, first convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The client's weight in kilograms is approximately 72.73 kg (160 ÷ 2.2).
The prescription is for 5 mg/kg/day, so the total daily dosage is 363.65 mg (72.73 kg × 5 mg). Since the medication is to be divided into doses every 8 hours, divide the total daily dosage by 3, because there are three 8-hour intervals in 24 hours.
Therefore, each dose should be approximately 121.22 mg. 121 mg rounded off to the nearest whole number.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Severe pain is important to document and manage, but the cause (possible ectopic pregnancy) takes priority.
B. A history of IBS is relevant but not as immediately critical in this acute situation.
C. White, curdy vaginal discharge may indicate a yeast infection or other serious gynecological issue, which could be important in the differential diagnosis of abdominal pain.
D. A missed menstrual period of 7 weeks in a young adult female with acute lower abdominal pain is concerning for possible pregnancy complications, including ectopic pregnancy, which is a medical emergency. Prompt reporting allows the healthcare provider to initiate appropriate diagnostic testing and treatment to prevent serious complications, such as rupture and hemorrhage.
Correct Answer is C
Explanation
A. An OGTT is not directly related to the symptoms of hypoglycemia experienced in the early morning.
B. An insulin pump is a possible treatment but is not the immediate change needed for managing hypoglycemia.
C. Diaphoresis and shakiness in the morning suggest possible nocturnal hypoglycemia, which may require a decrease in the evening dose of NPH insulin to prevent such episodes.
D. Testing glucose levels at multiple times can be part of managing diabetes but does not address the immediate need for adjustment in insulin dosing.
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.