Nokea
An adult patient is about to receive intravenous (IV) ondansetron during a chemotherapy treatment. A dose of 0.15 mg/kg IV 30 minutes before chemotherapy is ordered. The patient weighs 165 pounds. The medication is supplied in a vial marked 2 mg/mL for IV administration. Identify how many milliliters the nurse will administer for this dose. (Record answer to one decimal place.)
Correct Answer: 5.7 mL
Rationale: Convert pounds to kilograms: 165 ?· 2.2 = 75 kg. Calculate milligrams per dose: 0.15 mg/kg ?? 75 kg = 11.25 mg, rounded to 11.3 mg/dose. Calculate milliliters to be given: 2 mg:1 mL::11.3 mg:x mL, (2 ?? x) = (1 ?? 11.3); 2x = 11.3, x = 5.65, which rounds to 5.7 mL.
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- C. Please come to the office right away so that we can check him.
- D. Go ahead and take him to the emergency room right now.
Correct Answer: B
Rationale: The American Academy of Pediatrics no longer recommends the use of syrup of ipecac for home treatment for poisoning. In all cases of poisoning, if the victim is conscious and alert, call the local poison control center. If the victim has collapsed or stopped breathing, call 911 for emergency transport to a hospital.
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- A. Dizziness
- B. Diarrhea
- C. Dry mouth
- D. Blurred vision
Correct Answer: B
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Correct Answer: C
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- A. The patient may skip doses if the patient is feeling well.
- B. The patient will need to avoid driving because of possible drowsiness.
- C. The patient may experience occasional problems with taste.
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Correct Answer: B
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