A nurse is preparing to administer methylprednisolone sodium succinate 30 mg/kg via intermittent IV bolus to a client who weighs 169 lb. Available is methylprednisolone sodium succinate 125 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Step 1 is to convert the client's weight from pounds (lb) to kilograms (kg) Conversion factor: 1 kg = 2.2 lb Weight in kg = 169 ÷ 2.2 169 ÷ 2.2 = 76.8181... kg Step 2 is to calculate the total dose in milligrams (mg) Total mg Dose = Weight in kg × Dosage (mg/kg) Total mg Dose = 76.8181... × 30 76.8181... × 30 = 2304.5454... mg Step 3 is to calculate the volume to administer in milliliters (mL) Volume = Total mg Dose ÷ Available Concentration Volume = 2304.5454... ÷ 125 2304.5454... ÷ 125 = 18.4363... mL Step 4 is to round to the nearest whole number 18.4363... ≈ 18 Answer: 18 mL