A child with bone cancer is prescribed interferon gamma-1b (Actimmune) 50 mcg/m2 subcutaneous injection. The child weighs 96 lbs. and is 50 inches tall and the medication available is 100 mcg/0.5 mL
How many ml of the medication will the child receive? 1. 0.31 mL
2. 0.44 mL
3. 0.62 mL
4. 0.88 mL
1
Rationale 1: First determine the child's body surface area by using the equation, BSA = √96 lbs. x 50 in/3131 = √4800/3131 = √1.15330565 = 1.24 m2. mL/dose = 0.5 mL/100 mcg x 50 mcg/m2 x 1.24/1 dose. Multiply the numerators and then divide by the denominators. The client will receive 0.31 mL of medication.
You might also like to view...
The school nurse is planning a smoking-prevention program for middle school students. Which intervention is most likely to be effective in preventing middle school children from smoking?
1. Having a local high school basketball star come to talk to the students about the importance of not smoking 2. Having the school's biology teacher demonstrate the pathophysiology of the effects of smoking tobacco on the body 3. Developing colorful posters with catchy slogans and placing them all over the school 4. Having a pledge campaign with prizes awarded, during which students sign contracts saying that they will not use tobacco products
Patient ________ promotes accuracy and patient compliance with medications.
Fill in the blank(s) with the appropriate word(s).
Ms. N is a hospice client who has had insulin-dependent diabetes mellitus (type 1 diabetes) for many years. The visiting nurse asks the client and caregiver to relate the client's history of clinical signs and symptoms of hypoglycemia
The nurse is concerned because of which of the following reasons? 1. Often no signs and symptoms of impending coma are shown because of epinephrine deficiency. 2. With approaching death, hyperglycemia needs to be steadfastly avoided. 3. Ketoacidosis is particularly hazardous for the client with a terminal illness. 4. A change in type or dose of insulin may be required to counterbalance the client's hypersensitivity to the drug.
The nurse assesses an older client with altered cognition. Which finding indicates to the nurse the client has an alteration in fluid balance? (Select all that apply.)
a. Dry oral mucosa b. Dark colored urine c. Increased heart rate d. Lower extremity edema e. Increased respiratory rate