HESI PN Exit 2023 Proctored Exam
A client with chronic kidney disease receives a prescription for darbepoetin alfa 40 mcg subcutaneous every 7 days. The darbepoetin alfa vial is labeled, "60 mcg/mL." How many mL should the nurse administer? round to the nearest tenth.
Explanation & Rationale
Step 1 is to determine the amount of darbepoetin alfa in each mL of solution. The vial is labeled as “60 mcg/mL”, which means each mL contains 60 mcg of darbepoetin alfa. Step 2 is to calculate the volume of the solution that contains 40 mcg of darbepoetin alfa. This can be done by dividing the prescribed dosage by the concentration of the solution. So, the volume is 40 mcg ÷ 60 mcg/mL = 0.67 mL. However, since we need to round to the nearest tenth, the volume becomes 0.7 mL. So, the correct answer is, after analysing all choices, the nurse should administer 0.7 mL of the darbepoetin alfa solution.
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