The healthcare provide prescribes filgrastim 5 mcg/kg/day SUBQ for a client who weighs 190 pounds. The medication is available in 480 mcg/1.6 mL vial. How many ml. should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["1.4"]
Convert the client's weight from pounds to kilograms:
Weight (kg) = Weight (pounds) / 2.2 pounds/kg
= 190 pounds / 2.2 pounds/kg
≈ 86.36 kg
Calculate the prescribed daily dose in micrograms:
Daily dose (mcg) = Prescribed dose (mcg/kg/day) x Client's weight (kg)
= 5 mcg/kg/day x 86.36 kg
≈ 431.8 mcg
Calculate the volume to administer in mL:
Available concentration = 480 mcg / 1.6 mL
= 300 mcg/mL
Volume to administer (mL) = Desired dose (mcg) / Available concentration (mcg/mL)
= 431.8 mcg / 300 mcg/mL
≈ 1.439... mL
Round to the nearest tenth:
Rounded volume = 1.4 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Identify the total volume to be infused:
Total volume = 100 mL (the volume of the diluent, as the medication powder adds negligible volume)
Infusion time in minutes = 30 minutes
Calculate the total number of drops to be infused:
Total drops = Total volume (mL) x Drop factor (gtt/mL)
= 100 mL x 15 gtt/mL
= 1500 gtt
Calculate the infusion rate in drops per minute (gtt/min):
Infusion rate (gtt/min) = Total drops / Infusion time (minutes)
= 1500 gtt / 30 minutes
= 50 gtt/min
Correct Answer is ["1.8"]
Explanation
Calculate the prescribed dose in milligrams:
Prescribed dose (mg) = Ordered dose (mg/kg/dose) x Child's weight (kg)
= 0.3 mg/kg/dose x 30 kg
= 9 mg
Available concentration = 5 mg/mL
Calculate the volume to administer in mL:
Volume to administer (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 9 mg / 5 mg/mL
= 1.8 mL
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