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.
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Related Questions
Correct Answer is C
Explanation
A. Past experience with similar problems can provide useful insights but should not be the sole basis for evidence-based decision-making.
B. Related personal values may influence the nurse's perspective, but evidence-based practice should be grounded in objective, empirical data rather than personal beliefs.
C. The relevance of the evidence to the situation is most important. Evidence must be directly applicable to the clinical question and problem at hand to ensure the decision-making process is appropriate and effective.
D. The frequency that the problem occurs can help prioritize issues but does not necessarily impact the quality or applicability of the evidence gathered.
Correct Answer is ["A","B","C","D","E","F"]
Explanation
This blood glucose level is within the normal range, indicating that the client’s blood sugar is well-controlled at this point.
The client is 3 cm dilated, 40% effaced, with contractions every 4 minutes lasting 70 seconds and strong in quality. These are signs of active labor progressing appropriately.
The fetal heart rate is reassuring with a baseline of 145 beats per minute and moderate variability. This indicates good fetal well-being and adequate oxygenation.
The client quickly dilates to 10 cm and experiences a strong urge to push, suggesting efficient progress through labor.
The baby is born with an intact perineum, weighs 9 lbs. 9 oz (4.34 kg), and has excellent Apgar scores of 7 at 1 minute and 9 at 5 minutes. These scores indicate that the infant is in good condition and adapting well to extrauterine life.
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