Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child?
(Enter the numerical value only. If rounding required, round to the nearest tenth.)
The Correct Answer is ["0.7"]
To find the answer, we can use the following steps:
- Convert the child's weight from pounds to kilograms by dividing by 2.2
- Calculate the dose of filgrastim in mcg by multiplying the weight in kg by the dosage in mcg/kg/day
- Divide the dose in mcg by the concentration of filgrastim in mcg/mL
- Round the result to the nearest tenth
Using these steps, we get:
- (weight in kg) = (88) / (2.2) = 40 kg
- (dose in mcg) = (5) x (40) = 200 mcg
- (volume in mL) = (200) / (300) = 0.667 mL
- (rounded volume in mL) = 0.7 mL
Therefore, the nurse should administer 0.7 mL of filgrastim to this child daily.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["180"]
Explanation
To find the answer, we can use the following steps:
- Convert the client's weight from pounds to kilograms by dividing by 2.2
- Calculate the dosage of dobutamine in mg/hour by multiplying the weight in kg by the rate in mcg/kg/min and by 60
- Divide the dosage of dobutamine in mg/hour by the concentration of dobutamine in the solution in mg/mL
- Round the result to the nearest whole number
Using these steps, we get:
- (weight in kg) = (165) / (2.2) = 75 kg
- (dose in mg/hour) = (2) x (75) x (60) = 9000 mcg/hour
- (dose in mg/hour) = (9000 x 10^-3) = 9 mg/hour
- (volume in mL/hour) = (9) / (50 / 1000) = 180 mL/hour
Therefore, the nurse should set the infusion pump to deliver 180 mL/hour of dobutamine hydrochloride in D5W.
Correct Answer is ["20"]
Explanation
The correct answer is 20 mg. To find the answer, we can use the following steps:
- Convert the client's weight from pounds to kilograms by dividing by 2.2
- Multiply the weight in kilograms by the dosage in mg/kg
- Round the result to the nearest whole number
Using these steps, we get:
- (weight in kg) = (178) / (2.2) = 80.909 kg
- (dose in mg) = (0.25) x (80.909) = 20.227 mg
- (rounded dose in mg) = 20 mg
Therefore, the nurse should administer 20 mg of IV diltiazem to the client.
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