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    Hesi rn dosage calculation proctored exam
    Calculation

    The healthcare provider prescribes cefazolin 800 mg IM every 6 hours. The available vial is labeled, "Cefazolin 1 gram," and the instructions for reconstitution state, "For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

    mL

    Explanation & Rationale

    Here's how to calculate the volume (mL) of the reconstituted cefazolin solution the nurse should administer for each dose: 1. We know the following: Prescribed dose: 800 mg cefazolin (given) Vial information: Contains 1 gram cefazolin (given) = 1000 mg (since 1 gram = 1000 milligrams) Reconstituted with 2.5 mL sterile water for injection (given) Yields a total volume of 3.0 mL (given) 2. We need to find the concentration of cefazolin (mg/mL) in the reconstituted solution. 3. Then, we can find the volume (mL) to administer for the prescribed dose (800 mg) considering the concentration. Steps: a. Calculate the concentration after reconstitution: Total volume after reconstitution = 3.0 mL (given) Total amount of cefazolin after reconstitution = 1 gram (from the vial) = 1000 mg Concentration (mg/mL) = Total amount of medication (mg) / Total volume after reconstitution (mL) Concentration (mg/mL) = 1000 mg / 3.0 mL Concentration (mg/mL) = 333.33 mg/mL (round to one decimal place) b. Calculate the volume to administer: Volume to administer (mL) = Dose (mg) / Concentration (mg/mL) Volume to administer (mL) = 800 mg / 333.33 mg/mL Volume to administer (mL) = 2.4 mL (round to nearest tenth) Therefore, the nurse should administer approximately 2.4 mL of the reconstituted cefazolin solution intramuscularly every 6 hours.

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