The provider has ordered Golimimab 2mg/kg IV over 30 minutes for a patient weighing 140 pounds. The pharmacy provided a vial of Golimumab 50mg/4mL. The nurse will administer how many mL of Golimumab? (round to the nearest whole number)
The Correct Answer is ["10"]
Rationale:
- Convert the patient's weight from pounds (lb) to kilograms (kg).
Weight in kg = 140 lb / 2.2 lb/kg
= 63.636 kg.
- Calculate the total desired dose in milligrams (mg).
Desired dose (mg) = Desired dose (mg/kg) × Weight (kg)
= 2 mg/kg × 63.636 kg
= 127.272 mg.
- Identify the available concentration of Golimumab.
Available concentration = 50 mg / 4 mL.
- Calculate the volume in milliliters (mL) to administer.
Volume (mL) = Desired dose (mg) / (Available concentration (mg) / Available volume (mL))
= 127.272 mg / (50 mg / 4 mL)
= 127.272 mg / 12.5 mg/mL
= 10.18176 mL.
- Round the answer to the nearest whole number.
= 10 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Weight: Weight changes can occur due to fluid shifts and edema, but it is not a primary indicator of adequate fluid resuscitation. In burn patients, weight fluctuation may not reliably reflect the effectiveness of fluid replacement.
B. Urine output: Urine output is closely monitored in burn patients for signs of fluid resuscitation adequacy. However, if urine output continues to decrease (instead of increasing), it suggests worsening kidney perfusion and fluid depletion.
C. BP: In burn patients, low blood pressure is a sign of fluid loss and inadequate perfusion. While blood pressure will eventually improve with successful fluid resuscitation, a further decrease in BP would indicate worsening shock and fluid deficit, not adequate resuscitation.
D. Heart rate: A decrease in heart rate would indicate that the body is no longer compensating for hypovolemia and shock. Tachycardia is a common response to fluid loss and hypotension in burn patients, and as fluid resuscitation is effective, the heart rate should begin to decrease toward normal levels.
Correct Answer is A
Explanation
A. Wash hands with soap and water: Soap and water are the most effective method for removing Clostridium difficile spores from the hands. Alcohol-based hand sanitizers are ineffective against C. difficile spores, so washing with soap and water is the priority.
B. Don a clean pair of nonsterile gloves: While donning new gloves is important for continuing care, it does not address the need to properly disinfect hands after a contamination event, which should be done immediately.
C. Wash hands with alcohol-based hand sanitizer: Alcohol-based hand sanitizers are not effective against C. difficile spores, so they should not be used in this scenario. Soap and water are required to effectively remove the spores.
D. Wash hands with a bleach wipe from a nearby container: While bleach wipes are effective for disinfecting surfaces, they are not intended for hand hygiene. Soap and water should be used to clean hands in this situation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.