The healthcare provider prescribes penicillin G benzathine 1,800,000 units intramuscular (IM) for a client with a bacterial infection. The prefilled syringe is labeled, "Penicillin G benzathine 1,200,000 units/2 mL." How many mL should the nurse administer to this client? (Enter numerical value only, rounded to the nearest whole number.)
The Correct Answer is ["3"]
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["59.147"]
Explanation
Here's how to calculate the number of mL the nurse should document:
Client dosage: 2 ounces (given)
Conversion factor: 1 ounce (oz) = 29.5735 mL (conversion factor)
Magnesium hydroxide concentration: 400 mg per 5 mL (from bottle label)
We need to find the equivalent volume in mL of the 2 ounces dosage the client reported.
Steps:
a. Convert ounces to mL:
Client dosage (mL) = Client dosage (oz) x Conversion factor (mL/oz)
Client dosage (mL) = 2 oz * 29.5735 mL/oz
Client dosage (mL) = 59.147 mL (round to nearest hundredth)
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.
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