The healthcare provider prescribes epinephrine 0.01 mg/kg IM for an adolescent with an acute asthma episode who weighs 110 pounds. The available medication is labeled, 1 mg/mL. Based on the client's weight, how many mL should the nurse administer to this client? (Enter numerical value only, rounded to the nearest tenth.)
The Correct Answer is ["0.5"]
here's how to calculate the volume (mL) of epinephrine the nurse should administer:
1. Client weight conversion:
Client weight: 110 pounds
Since medication dosage is based on weight per kilogram (kg), we need to convert the weight to kg for accurate calculation.
Conversion factor: 1 kg = 2.205 lbs
Client weight (kg) = 110 pounds / 2.205 lbs/kg
Client weight (kg) = 50 kg (round to nearest whole number)
2. Epinephrine dosage:
Prescribed dose: 0.01 mg/kg (given)
3. Epinephrine concentration:
The medication is labeled 1 mg/mL. This indicates there are 1 mg of epinephrine per 1 mL of solution.
4. We need to find the volume (mL) containing the prescribed dose (based on weight) of epinephrine (0.01 mg/kg) considering the concentration (1 mg/mL) in the vial.
Total epinephrine dose (mg): Dose (mg/kg) x Client weight (kg)
Total epinephrine dose (mg): 0.01 mg/kg * 50 kg
Total epinephrine dose (mg): 0.5 mg (round to nearest tenth)
Volume to administer (mL): Total dose (mg) / Concentration (mg/mL)
Volume to administer (mL): 0.5 mg / 1 mg/mL
Volume to administer (mL): 0.5 mL (round to nearest tenth)
Therefore, the nurse should administer approximately 0.5 mL of epinephrine intramuscularly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Here's how to calculate the volume of heparin the nurse should administer:
1. Heparin dose: 5,000 units (given)
2. Heparin concentration: 10,000 units/mL (given on the vial label)
We need to find the volume (mL) containing the prescribed dose (5,000 units) of heparin.
Calculation:
Volume to administer (mL) = Dose (units) / Concentration (units/mL)
Volume to administer (mL) = 5,000 units / 10,000 units/mL
Volume to administer (mL) = 0.5 mL (round to nearest tenth as requested)
Therefore, the nurse should administer 0.5 mL of heparin.
Correct Answer is ["0.64"]
Explanation
Here's the calculation:
Prescribed dose: 40 mg methylprednisolone
Medication vial concentration: 125 mg per 2 mL (given on the vial label)
We need to find the volume (mL) containing the prescribed dose (40 mg) of methylprednisolone.
Calculation:
Concentration adjustment: The concentration is given in mg per 2 mL. To calculate the medication needed for the 40 mg dose, we need the concentration in mg/mL.
Concentration (mg/mL) = Total mg / Volume (mL)
Concentration (mg/mL) = 125 mg / 2 mL
Concentration (mg/mL) = 62.5 mg/mL
Volume to administer:
Volume to administer (mL) = Dose (mg) / Concentration (mg/mL)
Volume to administer (mL) = 40 mg / 62.5 mg/mL
Volume to administer (mL) = 0.64 mL (round to nearest hundredth)
Therefore, the nurse should administer 0.64 mL of methylprednisolone.
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