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    HESI RN Exit Exam IV Proctored Exam
    Calculation

    A client who weighs 132 lb receives a prescription for lorazepam 44 mcg/kg IV to be administer 20 minutes before a scheduled procedure. The medication is available in 2 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

    mg/mL

    Explanation & Rationale

    Convert pounds to kilograms. 1 pound = 0.453592 kilograms 132 pounds * 0.453592 kg/pound = 59.87 kilograms Step 2: Calculate the total dose in micrograms. 44 micrograms/kilogram * 59.87 kilograms = 2635.08 micrograms Step 3: Convert micrograms to milligrams. 1 milligram = 1000 micrograms 2635.08 micrograms / 1000 micrograms/milligram = 2.63508 milligrams Step 4: Calculate the volume to be administered. Concentration of lorazepam = 2 milligrams/milliliter Volume = Dose / Concentration Volume = 2.63508 milligrams / 2 milligrams/milliliter = 1.31754 milliliters Therefore, the nurse should administer approximately 1.3 milliliters of the lorazepam solution.

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