The healthcare provider prescribes cefazolin 800 mg IM every 6 hours. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["2.4"]
Here's how to calculate the volume (mL) the nurse should administer for cefazolin:
1. We know the following:
Prescribed dose: 800 mg cefazolin IM every 6 hours (given)
Vial content: 1 gram cefazolin (given)
However, we need to consider the reconstitution process for accurate dosage calculation.
Reconstitution information:
For IM use, add 2.5 mL sterile water for injection.
This dilution creates a total volume of 3.0 mL.
3. We need to find the concentration of cefazolin in the reconstituted solution (mg/mL).
Concentration (mg/mL) = Total drug amount (mg) / Total volume (mL) after reconstitution
Concentration (mg/mL) = 1 gram (which is 1000 mg) / 3.0 mL
Concentration (mg/mL) = 333.33 mg/mL (round to nearest tenth)
4. Now, we can find the volume to administer for the prescribed dose (800 mg) considering the concentration (333.33 mg/mL) in the reconstituted solution.
Volume to administer (mL): Dose (mg) / Concentration (mg/mL)
Volume to administer (mL): 800 mg / 333.33 mg/mL
Volume to administer (mL): 2.40 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 2.4 mL of the reconstituted cefazolin solution intramuscularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["17"]
Explanation
Let’s calculate the solution step by step:
Calculate the Total Drops in the IV Bag:
The total number of drops in the IV bag can be calculated using the formula:
Totaldrops = VolumeinmL × DropspermL
Substituting the given values:
Totaldrops = 150mL × 10drops/mL = 1500drops
Calculate the Rate in Drops/Minute:
The rate in drops per minute can be calculated using the formula:
Rateindrops/minute = Totaldrops / Timeinminutes
Substituting the given values:
Rateindrops/minute = 1500drops/90minutes ≈ 16.67drops/minute
Since the problem asks for the rate to be rounded to the nearest whole number if necessary, the final rate is 17 drops/minute.
Correct Answer is ["2.4"]
Explanation
Here's how to calculate the volume (mL) the nurse should administer for cefazolin:
1. We know the following:
Prescribed dose: 800 mg cefazolin IM every 6 hours (given)
Vial content: 1 gram cefazolin (given)
However, we need to consider the reconstitution process for accurate dosage calculation.
Reconstitution information:
For IM use, add 2.5 mL sterile water for injection.
This dilution creates a total volume of 3.0 mL.
3. We need to find the concentration of cefazolin in the reconstituted solution (mg/mL).
Concentration (mg/mL) = Total drug amount (mg) / Total volume (mL) after reconstitution
Concentration (mg/mL) = 1 gram (which is 1000 mg) / 3.0 mL
Concentration (mg/mL) = 333.33 mg/mL (round to nearest tenth)
4. Now, we can find the volume to administer for the prescribed dose (800 mg) considering the concentration (333.33 mg/mL) in the reconstituted solution.
Volume to administer (mL): Dose (mg) / Concentration (mg/mL)
Volume to administer (mL): 800 mg / 333.33 mg/mL
Volume to administer (mL): 2.40 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 2.4 mL of the reconstituted cefazolin solution intramuscularly.
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