The healthcare provider prescribes filgrastim 5 mcg/kg/day subcutaneously for a client who weighs 132 pounds and has just completed chemotherapy. The medication is available in 480 mcg/0.8 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 ["0.5"]
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 filgrastim in mcg by multiplying the weight in kg by the dosage in mcg/kg/day
- Divide the dose in mcg by the concentration of filgrastim in mcg/mL
- Round the result to the nearest tenth
Using these steps, we get:
- (weight in kg) = (132) / (2.2) = 60 kg
- (dose in mcg) = (5) x (60) = 300 mcg
- (volume in mL) = (300) / (480 / 0.8) = 0.5 mL
- (rounded volume in mL) = 0.5 mL
Therefore, the nurse should administer 0.5 mL of filgrastim to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
First, we need to find out how many mg of warfarin are in one vial. Since the vial is labeled 5 mg/single-use, we can assume that it contains 5 mg of warfarin.
Next, we need to find out how many mL of solution are in one vial. Since the instructions say to reconstitute with 2.7 mL of sterile water for injection to yield 2 mg/mL, we can use the following formula:
Amount of solution= amount of water + amount of warfarin
Substituting the given values, we get:
Amount of solution = 2.7 + 5 =7.7 mL
Now, we need to find out how many mL of solution contain 2 mg of warfarin, which is the prescribed dose for the patient. We can use the following formula:
mL of solution = mg of warfarin/ concentration of warfarin
Substituting the given values, we get:
mL of solution = 2/2 = 1 mL
Therefore, the nurse should administer 1 mL of solution to the patient.
Correct Answer is ["400"]
Explanation
To find the answer, we can use the following formula:
(mL/hour) = (mL/minute) x 60
Substituting the given values, we get:
(mL/hour) = (1000 / 150) x 60
Simplifying, we get:
(mL/hour) = 6.667 x 60
(mL/hour) = 400
Therefore, the nurse should program the infusion pump to deliver 400 mL/hour of 0.9% Sodium chloride Injection, USP to the patient.
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