A practical nurse is preparing to administer clindamycin to a pediatric client who weighs … — NCLEX-PN

A practical nurse is preparing to administer clindamycin to a pediatric client who weighs $24.2\text{ lb}$ . The healthcare provider prescribes clindamycin $15\text{ mg/kg/day}$ intramuscularly (IM) divided into equal doses every $8\text{ hours}$ . The medication is supplied in a vial labeled $300\text{ mg}/2\text{ mL}$ . How many mL will the practical nurse administer per dose? (Record the answer to the nearest tenth. Do not include units in your answer.)

Cevap: 0.4 mL

Cevap

0.4

The correct dose is calculated by sequentially converting weight to kilograms, finding the total daily dose, dividing by the administration frequency, and calculating the volume using the provided medication concentration. The resulting

0.366...\text{ mL}

rounds to

0.4\text{ mL}

Adım Adım Çözüm

Convert the client's weight from pounds to kilograms.

24.2 \div 2.2 = 11\text{ kg}

The prescribed medication dosage is weight-based in kg, so the weight must be converted from pounds to kilograms.

Calculate the total daily dosage required.

11\text{ kg} \times 15\text{ mg/kg} = 165\text{ mg/day}

Multiplying the client's weight in kg by the prescribed mg/kg/day provides the total amount of medication needed for 24 hours.

Determine the dose to be administered every 8 hours.

165\text{ mg} \div 3 = 55\text{ mg/dose}

Medication ordered every 8 hours is given 3 times a day (24 / 8 = 3). Dividing the total daily dose by 3 gives the single dose amount.

Calculate the volume (mL) needed for the single dose.

55\text{ mg} \times \frac{2\text{ mL}}{300\text{ mg}} = 0.3666...\text{ mL}

Using the formula (Desired / Have) x Volume, the needed dose is divided by the supplied concentration and multiplied by the supplied volume.

Round the final volume to the nearest tenth.

0.4\text{ mL}

Standard nursing administration and syringe measurement rules typically require rounding volumes less than 1 mL to the nearest hundredth or tenth depending on the syringe, but the prompt explicitly requested rounding to the nearest tenth.

Anahtar Kavram

Pediatric weight-based dosage calculation and parenteral volume computation

Soru

Cevap

Adım Adım Çözüm

Anahtar Kavram

Sık Yapılan Hatalar

Konular

Bu konudan daha fazla soru