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    Hesi rn dosage calculation proctored exam
    Calculation

    The healthcare provide prescribes filgrastim 5 mcg/kg/day SUBQ for a client who weighs 190 pounds. The medication is available in 480 mcg/1.6 mL vial. How many ml. should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

    mL

    Explanation & Rationale

    Convert the client's weight from pounds to kilograms: Weight (kg) = Weight (pounds) / 2.2 pounds/kg = 190 pounds / 2.2 pounds/kg ≈ 86.36 kg Calculate the prescribed daily dose in micrograms: Daily dose (mcg) = Prescribed dose (mcg/kg/day) x Client's weight (kg) = 5 mcg/kg/day x 86.36 kg ≈ 431.8 mcg Calculate the volume to administer in mL: Available concentration = 480 mcg / 1.6 mL = 300 mcg/mL Volume to administer (mL) = Desired dose (mcg) / Available concentration (mcg/mL) = 431.8 mcg / 300 mcg/mL ≈ 1.439... mL Round to the nearest tenth: Rounded volume = 1.4 mL

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