ATI PN Pharmacology 2020 Proctored Exam
Calculation
A nurse is preparing to administer gentamicin to a child who weighs 44 lb. The provider prescribes 6 mg/kg/day IV to be administered in three equal doses. Available is gentamicin 40 mg/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
mL
Explanation & Rationale
Step 1: Convert the child's weight from pounds to kilograms. 44 pounds / 2.2 pounds/kg = 20 kg Step 2: Calculate the child's total daily dose of gentamicin. 20 kg * 6 mg/kg/day = 120 mg/day Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day. 120 mg / 3 doses/day = 40 mg/dose Step 4: Calculate the volume of gentamicin to be administered with each dose. 40 mg / 40 mg/mL = 1 mL/dose Step 5: Round the answer to the nearest whole number and add a leading zero if necessary. 1 mL/dose = 1 mL/dose Answer: 1 mL with each dose.
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