The healthcare provider prescribes lorazepam 50 mcg/kg IM two hours before a scheduled procedure for a client who weighs 74 kg. The medication is "Available in 2mg/mL vial." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["1.9"]
Given:
Ordered dose of Lorazepam: 50 mcg/kg
Patient weight: 74 kg
Concentration of Lorazepam: 2 mg/mL
Step 1: Calculate the total dose of Lorazepam:
Total dose (mcg) = Ordered dose (mcg/kg) x Patient weight (kg)
Total dose (mcg) = 50 mcg/kg x 74 kg
Total dose (mcg) = 3700 mcg
Step 2: Convert mcg to mg:
Total dose (mg) = Total dose (mcg) / 1000 mcg/mg
Total dose (mg) = 3700 mcg / 1000 mcg/mg
Total dose (mg) = 3.7 mg
Step 3: Calculate the volume to be administered:
Volume (mL) = Total dose (mg) / Concentration (mg/mL)
Volume (mL) = 3.7 mg / 2 mg/mL
Volume (mL) = 1.85 mL
Step 4: Round to the nearest tenth:
Volume (mL) ≈ 1.9 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["33"]
Explanation
Rationale:
Given:
Total dose of Potassium Chloride: 30 mEq
Volume of solution: 100 mL
Infusion rate: 10 mEq/hour
Step 1: Determine the concentration of Potassium Chloride in the solution:
Concentration (mEq/mL) = Total Potassium Chloride (mEq) / Volume of solution (mL)
Concentration (mEq/mL) = 30 mEq / 100 mL
Concentration (mEq/mL) = 0.3 mEq/mL
Step 2: Calculate the infusion rate in mL/hr:
Infusion rate (mL/hr) = Infusion rate (mEq/hr) / Concentration (mEq/mL)
Infusion rate (mL/hr) = 10 mEq/hr / 0.3 mEq/mL
Infusion rate (mL/hr) = 33.33 mL/hr
Step 3: Round to the nearest whole number:
Infusion rate (mL/hr) ≈ 33 mL/hr
Correct Answer is ["0.5"]
Explanation
Given:
Ordered dose of interferon beta-1b: 0.125 mg
Vial strength: 0.3 mg
Reconstitution volume: 1.2 mL
Step 1: Determine the concentration of the reconstituted solution:
Concentration (mg/mL) = Total amount of medication (mg) / Volume of solution (mL)
Concentration (mg/mL) = 0.3 mg / 1.2 mL
Concentration (mg/mL) = 0.25 mg/mL
Step 2: Calculate the volume to be administered:
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
Volume (mL) = 0.125 mg / 0.25 mg/mL
Volume (mL) = 0.5 mL
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