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NurseDive Free Nursing Practice Question
A nurse is preparing to administer amikacin 5 mg/kg via intermittent IV bolus to a client who weighs 219 lb. Available is amikacin 10 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Dosage Calculation Proctored Exam. Take the full exam now
Full Explanation
Step 1 is to convert the client’s weight from pounds to kilograms, since the dosage is prescribed in mg/kg. Given that 1 kg = 2.2 lb, we calculate:
219 lb ÷ 2.2 = 99.5 kg
Rounding to the nearest whole number, the client’s weight is 100 kg.
Step 2 is to determine the total dosage of amikacin required. The prescribed dosage is 5 mg/kg, so we calculate:
5 mg/kg × 100 kg = 500 mg
Step 3 is to determine the volume to administer. The available concentration of amikacin is 10 mg/mL, so we divide:
500 mg ÷ 10 mg/mL = 50 mL
Thus, the correct amount to administer is 50 mL.
Similar Questions
A nurse is preparing to administer enoxaparin 40 mg subcutaneous for prevention of deep vein thrombosis.
Available is enoxaparin 100 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth.
Use a leading zero if it applies.
Do not use a trailing zero.). mL. .
Full Explanation
The prescribed dosage of enoxaparin is 40 mg. The available medication is in a concentration of 100 mg/mL. So, the volume to administer is 40 mg ÷ 100 mg/mL = 0.4 mL. Rounding to the nearest tenth, the nurse should administer 0.4 mL.
So, the correct answer is 0.4 mL.
A nurse is preparing to administer heparin 17,500 units subcutaneous every 12 hr. Available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose?
(Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
Step 1 is to calculate the volume of heparin to be administered. The calculation is as follows: 17,500 units ÷ (20,000 units/mL) = 0.875 mL.
So, the correct answer is 0.88 mL (rounded to the nearest hundredth).
A nurse is preparing to administer naloxone 10 mcg/kg IM to a client who weighs 165 lb. Available is naloxone 0.4 mg/mL. How many mL should the nurse administer?
(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
Step 1 is to convert the client’s weight from pounds to kilograms since the dosage is prescribed in mcg/kg. Given that 1 kg = 2.2 lb, we calculate:
165 lb ÷ 2.2 = 75 kg
Step 2 is to calculate the volume of naloxone to be administered. The prescribed dosage is 10 mcg/kg, so we first determine the total dose:
10 mcg/kg × 75 kg = 750 mcg
Next, we convert the available concentration of naloxone from mg/mL to mcg/mL:
0.4 mg/mL × 1000 mcg/mg = 400 mcg/mL
Now, we calculate the required volume by dividing the total dose by the concentration:
750 mcg ÷ 400 mcg/mL = 1.875 mL
Rounding to the nearest tenth, the correct amount to administer is 1.9 mL.