The healthcare provider orders Lasix 40 mg IV now. The concentration available is Lasix 20 mg/mL. How many mL will the patient receive?
5 mL
6 mL
4 mL
2 mL
The Correct Answer is D
Choice A reason: To calculate volume, divide the ordered dose (40 mg) by the concentration (20 mg/mL): 40 ÷ 20 = 2 mL. Choice A (5 mL) delivers 100 mg (5 × 20), far exceeding the ordered dose, risking fluid and electrolyte imbalances, making it incorrect for safe administration.
Choice B reason: The correct volume is 40 mg ÷ 20 mg/mL = 2 mL. Choice B (6 mL) delivers 120 mg (6 × 20), significantly overdosing Lasix, which could cause severe dehydration, hypokalemia, or hypotension. This excessive dose is unsafe and incorrect for the prescribed administration.
Choice C reason: Calculating 40 mg ÷ 20 mg/mL yields 2 mL. Choice C (4 mL) delivers 80 mg (4 × 20), doubling the ordered dose. This could lead to excessive diuresis, electrolyte disturbances, or hypotension, making it an incorrect and potentially harmful choice for administration.
Choice D reason: Dividing the ordered dose (40 mg) by the concentration (20 mg/mL) gives 40 ÷ 20 = 2 mL. This volume accurately delivers the prescribed 40 mg of Lasix, ensuring effective diuresis for conditions like edema or heart failure while minimizing risks, making it the correct choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Montelukast can cause mood changes or neuropsychiatric effects in children. Recognizing this side effect and notifying the pediatrician shows understanding, making this the correct statement.
Choice B reason: Montelukast is a daily maintenance drug, not for acute wheezing, which requires albuterol. This misunderstanding of its use makes it incorrect for proper administration.
Choice C reason: Montelukast controls asthma symptoms but does not cure asthma, a chronic condition. This incorrect belief about its purpose makes it wrong for understanding the medication.
Choice D reason: Montelukast is dosed once daily, typically at bedtime, not twice daily. This dosing error indicates a lack of understanding, making it incorrect for the parent’s statement.
Correct Answer is D
Explanation
Choice A reason: For 10 mg at 5 mg/mL: 10 ÷ 5 = 2 mL. Choice A (0.5 mL) delivers 2.5 mg (0.5 × 5), underdosing Compazine, which may fail to control nausea or psychosis, making this choice incorrect for the prescribed dose.
Choice B reason: The correct volume is 10 mg ÷ 5 mg/mL = 2 mL. Choice B (4 mL) delivers 20 mg (4 × 5), overdosing Compazine, risking extrapyramidal symptoms or sedation, making this choice incorrect and potentially harmful for safe administration.
Choice C reason: For 10 mg, the volume is 2 mL (10 ÷ 5). Choice C (1 mL) delivers 5 mg (1 × 5), underdosing Compazine, which could be ineffective for nausea or psychiatric symptoms, making this choice inadequate for the ordered dose.
Choice D reason: Calculating 10 mg ÷ 5 mg/mL = 2 mL accurately delivers the ordered 10 mg of Compazine (prochlorperazine) for nausea or psychosis. This ensures therapeutic efficacy without overdose, aligning with safe intramuscular administration, making this the correct choice.
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