Nursedive logo NurseDive
NurseDive

Nursing practice questions with comprehensive rationales

Start Free

NurseDive Free Nursing Practice Question

A nurse is preparing to administer calcitonin & units/kg IM to a client who weighs 130 lb. Available is calcitonin 200 units/mL for injection.

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.

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 ordered in units/kg. There are approximately 2.2 lb/kg, so 130 lb ÷ 2.2 lb/kg = 59.1 kg. The doctor ordered calcitonin at a dosage of & units/kg, so we multiply the client’s weight in kg by the dosage: 59.1 kg × & units/kg = & units. The medication is available at a concentration of 200 units/mL, so we divide the total units needed by the units per mL: & units ÷ 200 units/mL = & mL. 

So, the correct answer is 8 mL.


Similar Questions

QUESTION

A nurse is preparing to administer phenobarbital 2 mg/kg/day IV divided in 2 equal doses to a client who weighs 165 lb. Available is phenobarbital 65 mg/mL. How many mL should the nurse administer per dose?
(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 ordered in mg/kg. There are approximately 2.2 lb/kg, so 165 lb ÷ 2.2 lb/kg = 75 kg. The doctor ordered phenobarbital at a dosage of 2 mg/kg/day divided into 2 equal doses, so we multiply the client’s wei

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:

165 lb ÷ 2.2 lb/kg = 75 kg

Step 2 is to determine the total daily dose of phenobarbital. The doctor ordered 2 mg/kg/day, divided into 2 equal doses. So, we first calculate the total daily dose:

75 kg × 2 mg/kg/day = 150 mg/day

Since the medication is to be given in 2 equal doses, we divide:

150 mg/day ÷ 2 = 75 mg/dose

Step 3 is to determine the volume to administer. The medication has a concentration of 65 mg/mL, so we divide the required dose by the concentration:

75 mg ÷ 65 mg/mL = 1.15 mL

Rounding to the nearest tenth, the correct amount to administer is 1.2 mL.

ght in kg by the dosage and divide by 2: (75 kg × 2 mg/kg/day) ÷ 2 = 75 mg/dose. The medication is available at a concentration of 65 mg/mL, so we divide the total mg needed per dose by the mg per mL: 75 mg ÷ 65 mg/mL = 1.15 mL. 

So, the correct answer is 1.2 mL.

QUESTION

Available is exenatide 250 mcg/mL. How many mL should the nurse administer?
(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 determine the amount of medication in 1 mL. This is calculated by dividing the total available medication (250 mcg) by the total volume (1 mL):

250 mcg ÷ 1 mL = 250 mcg/mL

Step 2 is to determine how many mL are needed to obtain 10 mcg. This is done by dividing the required dose (10 mcg) by the concentration (250 mcg/mL):

10 mcg ÷ 250 mcg/mL = 0.04 mL

Thus, the correct amount to administer is 0.04 mL.

QUESTION

The package insert instructs reconstituting with 3.4 mL of sterile water to yield nafcillin 250 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.)

Full Explanation

Step 1 is to determine the amount of medication in 1 mL after reconstitution. This is calculated by dividing the total available medication (1000 mg) by the total volume after reconstitution (3.4 mL):

1000 mg ÷ 3.4 mL = 294.12 mg/mL

Step 2 is to determine how many mL are needed to obtain 500 mg. This is done by dividing the required dose (500 mg) by the concentration (294.12 mg/mL):

500 mg ÷ 294.12 mg/mL = 1.7 mL

Rounding to the nearest whole number, the correct amount to administer is 2 mL.