A nurse is preparing to administer milrinone 50 mcg/kg IV loading dose to a client who weighs 154 lb. Available is milrinone 1 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["3.5"]
To convert pounds to kilograms, divide by 2.2: 154 lb / 2.2 = 70 kg. Then multiply by the dosage per kilogram: 70 kg x 50 mcg/kg = 3500 mcg. Next, convert micrograms to milligrams by dividing by 1000: 3500 mcg / 1000 = 3.5 mg. Finally, use the formula D/H x Q to find the volume to administer, where D is the dose, H is the strength of the solution, and Q is the quantity of the solution. Plug in the values: 3.5 mg / 1 mg/mL x 1 mL = 3.5 mL. Round to the nearest tenth: 3.5 mL. Therefore, the nurse should administer 3.5 mL of milrinone.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.25"]
Explanation
To convert micrograms to milligrams, divide by 1000: 250 mcg / 1000 = 0.25 mg. Round to the nearest hundredth: 0.25 mg. Therefore, the nurse should administer 0.25 mg of filgrastim.
Correct Answer is ["60"]
Explanation
To calculate the infusion rate of lidocaine, we need to convert the dose from mg/min to mg/hr and then to mL/hr.
The prescribed dose is 4 mg/min, so the hourly dose is 4 x 60 = 240 mg/hr.
The concentration of the drug is 1 g in 250 mL, which is equivalent to 1000 mg in 250 mL or 4 mg in 1 mL.
Therefore, the volume per hour is 240 / 4 = 60 mL/hr.
Rounded to the nearest whole number, the nurse should set the IV pump to deliver 60 mL/hr.
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