College

The nurse is caring for a client who has a prescription for nalbuphine 10 mg/70 kg subcutaneously once. The client weighs 187 lb (85 kg). The nurse has nalbuphine 10 mg/1 mL available.

How many mL should the nurse administer to the client? Record your answer using 1 decimal place.

Answer :

Sure! Let's go through the steps to determine how many milliliters of nalbuphine the nurse should administer to the client.

1. Understand the Prescription:
- The doctor has prescribed nalbuphine 10 mg per 70 kg of body weight.

2. Determine the Client's Weight in Kilograms:
- The client weighs 187 pounds. To convert pounds to kilograms, use the conversion factor 1 kg = 2.2 lbs.
- [tex]\( \text{Client's weight in kg} = \frac{187 \text{ lbs}}{2.2 \text{ lbs/kg}} = 85 \text{ kg} \)[/tex].

3. Calculate the Required Dose for the Client:
- The prescription is for 10 mg of the drug per 70 kg.
- First, calculate the dose per kilogram: [tex]\( \frac{10 \text{ mg}}{70 \text{ kg}} = 0.142857 \text{ mg/kg} \)[/tex].
- Multiply the dose per kg by the client's weight to find the total required dose:
- [tex]\( 0.142857 \text{ mg/kg} \times 85 \text{ kg} = 12.142857 \text{ mg} \)[/tex].

4. Determine How Many mL to Administer:
- The available concentration of the drug is 10 mg in 1 mL.
- To find out how many mL to give, divide the total required dose by the drug concentration:
- [tex]\( \frac{12.142857 \text{ mg}}{10 \text{ mg/mL}} = 1.214285714 \text{ mL} \)[/tex].

5. Round to the Required Decimal Place:
- You should record your answer to 1 decimal place:
- The nurse should administer approximately 1.2 mL of nalbuphine to the client.

By following these steps, you can effectively determine the correct dosage to administer based on the client's weight.