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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.)

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["3"]

Explanation

Concentration of penicillin G benzathine: 1,200,000 units/2 mL (given on the syringe label)

Prescribed dose: 1,800,000 units

We need to find the volume (in mL) that delivers the prescribed dose (1,800,000 units) considering the available concentration.

Dosage calculation:

To administer the prescribed dose, we need to find the volume that contains at least 1,800,000 units.

Since the available concentration is 1,200,000 units/2 mL, one prefilled syringe provides 1,200,000 units.

We can calculate the number of syringes needed to deliver the prescribed dose:

Number of syringes = Prescribed dose (units) / Concentration per syringe (units)

Number of syringes = 1,800,000 units / 1,200,000 units/syringe

Number of syringes = 1.5 (round up to 2 since a partial dose wouldn't be sufficient)

2 mL per syringe x 2 syringes = 4 mL

However, the prefilled syringes likely come in whole-number doses. Checking the available options:

A single prefilled syringe provides 1,200,000 units (which is not enough).

Two prefilled syringes would provide a total of 2,400,000 units (more than enough).

Therefore, to ensure at least the prescribed dose is administered, the nurse should administer 3 mL.

This is achieved by using one and a half (rounded up to two) prefilled syringes.

Correct Answer is ["2000"]

Explanation

Here's how to calculate the total milligrams of ampicillin the child should receive per day:

Convert child's weight to kilograms:

Weight (kg) = Weight (lbs) / Conversion factor (lbs/kg)

Weight (kg) = 88 lbs / 2.205 lbs/kg

Weight (kg) = 40 kg (round to nearest whole number)

Calculate the total daily dosage:

Daily dosage (mg) = Dose per kg (mg/kg/day) * Weight (kg)

Daily dosage (mg) = 50 mg/kg/day * 40 kg

Daily dosage (mg) = 2000 mg

Therefore, the child should receive 2000 mg of ampicillin per day.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["3"]

Explanation

The nurse is preparing to administer ampicillin PO to a 12-year-old child with impetigo who weighs 88 pounds. The prescription is for 50 mg/kg/day. How many mg should the child receive per day? (Enter numeric value only.)

Correct Answer is ["2000"]

Explanation

The healthcare provider prescribes acyclovir 800 mg by mouth (PO) every 6 hours for an adolescent with chicken pox. The medication is available in 400 mg tablets PO. How many tablets should the nurse administer to the client every 24 hours? (Enter the numeric value only)

A client scheduled for coronary artery bypass surgery is to receive an intravenous (IV) infusion of 1 gram cefazolin in 50 ml 0.9% sodium chloride, USP over 30 minutes. The nurse should program the infusion pump to deliver how many mL/hour? (Enter numeric value only, as a whole number.)

A child who weighs 40 kg receives a prescription for acetaminophen 15 mg/kg/dose PO every 4 to 6 hours PRN for fever. What is the maximum daily dose the nurse should administer? (Enter the numerical value only.)

A client with an extrapyramidal reaction receives a prescription for diphenhydramine 35 mg IM. The medication is supplied as 50 mg/mL in a 1 mL prefilled single use syringe. How many mL should the nurse give? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)