Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing to administer gentamicin 5 mg/kg via intermittent IV bolus to a client who weighs 210 lb. The amount available is gentamicin 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 - Dosage calculations RN adult medical surgical assessment 3.1 proctored exam. Take the full exam now
Full Explanation
To calculate how many milliliters (ml) of gentamicin to administer, follow these steps:
Calculate the client's weight in kilograms: Weight in kilograms = Weight in pounds / 2.2
Weight in kilograms = 210 lb / 2.2 Weight in kilograms ≈ 95.45 kg
Determine the dose based on the weight: Dose = 5 mg/kg × Weight in kilograms Dose = 5 mg/kg × 95.45 kg Dose ≈ 477.25 mg
Check the concentration of the available gentamicin: Concentration = 10 mg/mL
Calculate the volume (ml) to administer: Volume (ml) = Dose (mg) / Concentration (mg/ml) Volume (ml) = 477.25 mg / 10 mg/ml Volume (ml) ≈ 47.73 ml
Rounded to the nearest whole number, the nurse should administer approximately 48 ml of gentamicin.
Similar Questions
A nurse is preparing to administer 0.9% sodium chloride 1,200 ml. IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Full Explanation
To calculate the IV pump rate, you need to divide the total volume (1,200 ml) by the total infusion time (8 hours). Here's the calculation:
IV Pump Rate (ml/hr) = Total Volume (ml) / Total Infusion Time (hr)
IV Pump Rate (ml/hr) = 1,200 ml / 8 hr
IV Pump Rate (ml/hr) = 150 ml/hr
So, the nurse should set the IV pump to deliver 150 ml/hr.
A nurse is preparing to administer tobramycin 3 mg/kg/day IM in three divided doses to a client who weighs 85 kg. The amount available is tobramycin 40 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
To calculate the amount of tobramycin to administer per dose, you need to follow these steps:
Step 1: Calculate the total daily dose. Total Daily Dose (mg) = Weight (kg) x Dose (mg/kg/day)
Total Daily Dose (mg) = 85 kg x 3 mg/kg/day = 255 mg/day
Step 2: Calculate the dose per divided dose (three divided doses). Dose per Divided Dose (mg) = Total Daily Dose (mg) / Number of Divided Doses
Dose per Divided Dose (mg) = 255 mg / 3 doses = 85 mg/dose
Step 3: Convert the dose to mL using the concentration. Dose (mL) = Dose (mg) / Concentration (mg/mL)
Dose (mL) = 85 mg / 40 mg/mL ≈ 2.125 mL
Rounded to the nearest tenth, the nurse should administer 2.1 mL per dose.
A nurse is preparing to administer fentanyl 0.5 mcg/kg via IV bolus to a client who weighs 187 lb. Available is fentanyl 50 mcg/ml. How many mi 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
-
Convert the client’s weight from pounds to kilograms:
- 1 kilogram (kg) = 2.2 pounds (lb)
- Weight in kg = 187 lb / 2.2 = 85 kg
-
Calculate the dose of fentanyl in micrograms (mcg):
- Dose = 0.5 mcg/kg × 85 kg = 42.5 mcg
-
Determine the volume of fentanyl to administer:
- Available concentration is 50 mcg/ml
- Volume (ml) = Dose (mcg) / Concentration (mcg/ml)
- Volume (ml) = 42.5 mcg / 50 mcg/ml = 0.85 ml
-
Round the answer to the nearest tenth:
- Rounded volume = 0.9 ml