he nurse is preparing to administer methylprednisolone 40 mg IV. The medication vial is labeled, "125 mg per 2 mL. How many mLs of medication should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth
The Correct Answer is ["0.64"]
Here's the calculation:
Prescribed dose: 40 mg methylprednisolone
Medication vial concentration: 125 mg per 2 mL (given on the vial label)
We need to find the volume (mL) containing the prescribed dose (40 mg) of methylprednisolone.
Calculation:
Concentration adjustment: The concentration is given in mg per 2 mL. To calculate the medication needed for the 40 mg dose, we need the concentration in mg/mL.
Concentration (mg/mL) = Total mg / Volume (mL)
Concentration (mg/mL) = 125 mg / 2 mL
Concentration (mg/mL) = 62.5 mg/mL
Volume to administer:
Volume to administer (mL) = Dose (mg) / Concentration (mg/mL)
Volume to administer (mL) = 40 mg / 62.5 mg/mL
Volume to administer (mL) = 0.64 mL (round to nearest hundredth)
Therefore, the nurse should administer 0.64 mL of methylprednisolone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.3"]
Explanation
Here's how to calculate the volume (mL) of filgrastim the nurse should administer:
Client weight conversion:
Client weight: 176 pounds
Since medication dosage is based on weight per kilogram (kg), we need to convert the weight to kg for accurate calculation.
Conversion factor: 1 kg = 2.205 lbs
Client weight (kg) = 176 pounds / 2.205 lbs/kg
Client weight (kg) = 80 kg (round to nearest whole number)
Filgrastim dose per kg:
Dose per kg = 5 mcg/kg (given)
Filgrastim concentration:
The medication vial is labeled 300 mcg/mL. This indicates there are 300 mcg of filgrastim in every 1 mL of solution.
We need to find the volume (mL) containing the prescribed dose (based on weight) of filgrastim (5 mcg/kg) considering the concentration (300 mcg/mL) in the vial.
Total filgrastim dose (mcg): Dose (mcg/kg) x Client weight (kg)
Total filgrastim dose (mcg): 5 mcg/kg * 80 kg
Total filgrastim dose (mcg): 400 mcg
Volume to administer (mL): Total dose (mcg) / Concentration (mcg/mL)
Volume to administer (mL): 400 mcg / 300 mcg/mL
Volume to administer (mL) = 1.33 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 1.3 mL of filgrastim subcutaneously.
Correct Answer is ["1"]
Explanation
Here's the breakdown:
Prescribed dose: 2 mg midazolam (given)
Vial concentration: 4 mg/2 mL (label)
We need to find the volume containing the 2 mg dose considering the concentration.
Calculation:
Volume (mL) = Dose (mg) / (Concentration (mg/mL) / 2)
We divide the concentration by 2 because we need the volume that delivers 2 mg (half the concentration).
Volume (mL) = 2 mg / (4 mg/mL / 2)
Volume (mL) = 2 mg / 2 mg/mL
Volume (mL) = 1 mL
Therefore, the nurse should administer 1 mL of midazolam to deliver the prescribed dose of 2 mg.
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