The doctor orders 250 mg of an antibiotic. The stock supply is a vial of 250 mg of the drug. Directions say to reconstitute with 1.7 mL of sterile water to yield 2 mL of the drug. How many milliliters will you give for the correct dose?
0.5 mL
250 mL
1.7 mL
2 mL
The Correct Answer is D
Given:
Ordered dose of antibiotic: 250 mg
Vial contains: 250 mg of antibiotic
Reconstitution volume: 1.7 mL of sterile water
Final volume after reconstitution: 2 mL
Step 1: Determine the concentration of the reconstituted solution:
Concentration (mg/mL) = Total amount of drug (mg) / Total volume (mL)
Concentration (mg/mL) = 250 mg / 2 mL
Concentration (mg/mL) = 125 mg/mL
Step 2: Calculate the volume to be administered:
Volume (mL) = Ordered dose (mg) / Concentration (mg/mL)
Volume (mL) = 250 mg / 125 mg/mL
Volume (mL) = 2 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) High protein diet:
While a healthy diet is essential for managing heart disease, a high-protein diet is not specifically recommended as a nonpharmacologic control for heart disease. A balanced diet that includes adequate protein, healthy fats, and low saturated fats, while being high in fruits, vegetables, and whole grains, is more beneficial for heart health.
B) Decrease exercise:
Decreasing exercise is not recommended for heart disease management. In fact, regular physical activity is a key aspect of preventing and managing heart disease. Moderate exercise, such as walking, swimming, or cycling, helps improve cardiovascular health by lowering blood pressure, improving cholesterol levels, and reducing stress.
C) Smoking cessation:
Smoking cessation is one of the most important nonpharmacologic strategies for managing heart disease. Smoking is a major risk factor for heart disease because it damages the blood vessels, increases blood pressure, and promotes the formation of blood clots. Quitting smoking can significantly reduce the risk of heart disease, improve circulation, and lower the risk of heart attack and stroke.
D) Increase water intake:
While staying hydrated is important for overall health, there is no specific evidence to suggest that increasing water intake directly controls heart disease. However, maintaining proper hydration supports kidney function and circulatory health, and can assist with managing blood pressure.
Correct Answer is D
Explanation
Given:
Ordered dose of Acyclovir: 12 mg/kg
Patient weight: 115 lbs
Concentration of Acyclovir: 100 mg/2 mL
Step 1: Convert patient weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Patient weight in kg = 115 lbs * 0.453592 kg/lb = 52.16308 kg
Step 2: Calculate the total dose of Acyclovir:
Total dose (mg) = Ordered dose (mg/kg) x Patient weight (kg)
Total dose (mg) = 12 mg/kg x 52.16308 kg = 625.95696 mg
Step 3: Calculate the volume to be administered:
Volume (mL) = Total dose (mg) / Concentration (mg/mL)
Volume (mL) = 625.95696 mg / 100 mg/2 mL
Volume (mL) = 625.95696 mg x (2 mL / 100 mg)
Volume (mL) = 12.5191392 mL
Step 4: Round to the nearest tenth:
Volume (mL) ≈ 12.5 mL/dose
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