The healthcare provider prescribes enoxaparin 1 mg/kg subcut...

The healthcare provider prescribes enoxaparin 1 mg/kg subcutaneously every 12 hours for a client who weighs 132 pounds. The medication is available in 60 mg/0.6 mL prefilled syringe. How many mL should the nurse administer per day? (Enter numerical value only.)

Correct Answer: 1.2

Rationale: Weight: 132 Ã— 0.454 = 59.928 kg. Dose: 1 mg/kg Ã— 59.928 = 59.928 mg. Volume per dose: (59.928 Ã— 0.6) / 60 = 0.59928 mL. Daily volume: 0.59928 Ã— 2 = 1.19856 mL, rounded to 1.20 mL.

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Filgrastim 5 mcg/kg/day subcutaneous is prescribed for a child with cancer who weighs 88 pounds. The medication is labeled 300 mcg/mL. How many mL should the nurse administer daily to this child? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 0.7

Rationale: Weight: 88 Ã— 0.454 = 39.952 kg. Dose: 5 mcg/kg/day Ã— 39.952 = 199.76 mcg/day. Volume: 199.76 / 300 = 0.66587 mL, rounded to 0.7 mL.

The nurse plans to administer a bolus dose of IV Heparin based on the client's weight. The prescribed bolus dose is 100 units/kg. The client weighs 198 pounds. How many units of Heparin should the nurse administer? (Enter numeric value only.)

Correct Answer: 9000

Rationale: Weight: 198 pounds / 2.2 = 90 kg. Dose: 100 units/kg Ã— 90 = 9000 units.

The healthcare provider prescribes metoclopramide 7.5 mg/mL IM every 3 hours PRN vomiting for a client who is receiving chemotherapy. The nurse prepares an injection using a 2 ml. prefilled syringe cartridge labeled, 'metoclopramide 5 mg/mL.' How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer: 1.5

Rationale: Volume = 7.5 mg / 5 mg/mL = 1.5 mL.

The healthcare provider prescribes streptomycin 200 mg intramuscularly every 12 hours. The vial is labeled, 'Streptomycin 1 gram/2.5 mL. How many milliliters should the nurse administer? (Enter numerical value only. (If rounding is required, round to the nearest tenth.))

Correct Answer: 0.5

Rationale: Concentration: 1 g = 1000 mg / 2.5 mL. Proportion: 1000 mg / 2.5 mL = 200 mg / x mL. Solving, x = (200 Ã— 2.5) / 1000 = 0.5 mL.

A client is receiving one liter of DW 0.45% normal saline IV every 8 hours by gravity infusion. The IV tubing has a drip factor of 12 gtt/mL. The nurse should regulate the IV to deliver how many drops per minute? (Enter numeric value only. If rounding is required, round to the nearest whole number.)

Correct Answer: 25

Rationale: Infusion rate: 1000 mL / 8 hours = 125 mL/hour. Flow rate: (125 Ã— 12) / 60 = 25 gtt/min.