The healthcare provider prescribes an IV bolus of diltiazem 0.25 mg/kg for a client with atrial fibrillation. The client weighs 178 pounds. How many mg should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
The Correct Answer is ["20"]
The correct answer is 20 mg. To find the answer, we can use the following steps:
- Convert the client's weight from pounds to kilograms by dividing by 2.2
- Multiply the weight in kilograms by the dosage in mg/kg
- Round the result to the nearest whole number
Using these steps, we get:
- (weight in kg) = (178) / (2.2) = 80.909 kg
- (dose in mg) = (0.25) x (80.909) = 20.227 mg
- (rounded dose in mg) = 20 mg
Therefore, the nurse should administer 20 mg of IV diltiazem to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.2"]
Explanation
To find the answer, we can use the following steps:
- Convert the client's weight from pounds to kilograms by dividing by 2.2
- Calculate the dose of enoxaparin in mg per administration by multiplying the weight in kg by the dosage in mg/kg
- Divide the dose in mg per administration by the concentration of enoxaparin in the prefilled syringe in mg/mL
- Multiply the volume in mL per administration by the number of administrations per day
- Round the result to the nearest tenth
Using these steps, we get:
- (weight in kg) = (132) / (2.2) = 60 kg
- (dose in mg per administration) = (1) x (60) = 60 mg
- (volume in mL per administration) = (60) / (60 / 0.6) = 0.6 mL
- (volume in mL per day) = (0.6) x (2) = 1.2 mL
- (rounded volume in mL per day) = 1.2 mL
Therefore, the nurse should administer 1.2 mL of enoxaparin per day.
Correct Answer is ["0.4"]
Explanation
To find the answer, we can use the following formula:
(mL to be administered) = (units prescribed) / (units per mL)
Substituting the given values, we get:
(mL to be administered) = (240,000) / (1,200,000 / 2)
Simplifying, we get:
(mL to be administered) = (240,000 x 2) / (1,200,000)
(mL to be administered) = 480,000 / 1,200,000
(mL to be administered) = 0.4
Therefore, the nurse should administer 0.4 mL of penicillin G procaine to the child.
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