The healthcare provider prescribes enoxaparin 1 mg/kg SUBQ every 12 hours for a client who weighs 132 pounds. The medication is available in 60 mg/0.6 mL prefilled syringe. How many mL should the nurse administer per day? (Enter numerical value only.)

Answer and Explanation

The Correct Answer is ["1.20"]

First, we need to convert the client’s weight from pounds to kilograms since the dosage is prescribed in mg/kg. We know that 1 kg is approximately 2.20462 pounds. So,

Weight in kg = Weight in pounds / 2.20462 = 132/ 2.20462 ≈ 59.87kg

The prescribed dosage is 1 mg/kg every 12 hours, so the total daily dosage (for 24 hours) in mg would be:

Daily dosage in mg= 2 × (Dosage per kg × Weight in kg) = 2 × (1mg/kg × 59.87kg) ≈ 119.74mg

The medication is available in a concentration of 60 mg/0.6 mL, which simplifies to 100 mg/mL. Therefore, the volume to be administered per day in mL would be:

Volume in mL=Daily dosage in mg/ Concentration in mg/mL = 119.74mg / 100mg/mL ≈ 1.20mL

So, the nurse should administer approximately 1.20 mL of enoxaparin per day. Always consult with a healthcare professional for accurate information.

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Correct Answer is ["17"]

Explanation

Here's how to calculate the drip rate (drops/minute) for the ganciclovir infusion:

1. We know:

Ganciclovir dose: 375 mg (given)

Infusion bag volume: 150 mL (given)

Infusion time: 90 minutes (given) = 1.5 hours (convert minutes to hours)

Drip chamber calibration: 10 drops/mL (given)

2. We need to find:

Drip rate (drops/minute)

3. Steps:

Calculate the concentration of ganciclovir in the bag (assuming all medication is in the bag):

Concentration (mg/mL) = Dose (mg) / Volume (mL)

Concentration (mg/mL) = 375 mg / 150 mL

Concentration (mg/mL) = 2.5 mg/mL

Calculate the total volume to infuse (considering the prescribed dose):

We already know the volume of the bag (150 mL), but this might contain more volume than needed to deliver the prescribed dose.

Calculate the volume to infuse based on the dose and concentration:

Volume to infuse (mL) = Dose (mg) / Concentration (mg/mL)

Volume to infuse (mL) = 375 mg / 2.5 mg/mL

Volume to infuse (mL) = 150 mL (This confirms that the full bag volume delivers the prescribed dose)

Calculate the infusion rate (mL/hour):

Infusion rate (mL/hour) = Total volume to infuse (mL) / Infusion time (hours)

Infusion rate (mL/hour) = 150 mL / 1.5 hours

Infusion rate (mL/hour) = 100 mL/hour

Calculate the drip rate (drops/minute):

Drip rate (drops/minute) = Infusion rate (mL/hour) x Drip chamber calibration (drops/mL)

Drip rate (drops/minute) = 100 mL/hour x 10 drops/mL

Drip rate (drops/minute) = 1000 drops/hour (convert to minutes)

Drip rate (drops/minute) = 1000 drops/hour / 60 minutes/hour

Drip rate (drops/minute) = 16.67 drops/minute (round to nearest whole number as requested)

Therefore, the nurse should regulate the gravity infusion at approximately 17 drops/minute.

Correct Answer is ["45"]

Explanation

The infusion rate is given as 45 mL/hour.

We know that 1 hour is 60 minutes, so we can convert the rate to mL/minute:

RateinmL/minute = RateinmL/hour /divide by 60minutes/hour

= 45mL/hour / 60minutes/hour ≈ 0.75mL/minute

The volume-control administration set with a microdrop chamber delivers 60 microdrops/mL.

Therefore, the rate in microdrops/minute would be:

Rateinmicrodrops/minute = RateinmL/minute×DropspermL = 0.75mL/minute × 60microdrops/mL = 45microdrops/minute

However, the question asks to round the answer to the nearest whole number.

So, the nurse should regulate the infusion to deliver 45 microdrops/minute.

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The healthcare provider prescribes enoxaparin 1 mg/kg SUBQ every 12 hours for a client who weighs 132 pounds. The medication is available in 60 mg/0.6 mL prefilled syringe. How many mL should the nurse administer per day? (Enter numerical value only.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["17"]

Explanation

Correct Answer is ["45"]

Explanation

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The healthcare provider prescribes enoxaparin 1 mg/kg SUBQ every 12 hours for a client who weighs 132 pounds. The medication is available in 60 mg/0.6 mL prefilled syringe. How many mL should the nurse administer per day? (Enter numerical value only.)