A nurse cares for a client who is prescribed 5 mg/kg of ...

[melly21297]

A nurse cares for a client who is prescribed 5 mg/kg of infliximab (Remicade) intravenously. The client weighs 110 lbs and the pharmacy supplies infliximab 100 mg/10 mL solution. How many milliliters should the nurse administer to this client?
 
  (Record your answer using a whole number.) ____ mL

Question 2

A nurse obtains a client's health history at a community health clinic. Which statement alerts the nurse to provide health teaching to this client?
 
  a. I drink two glasses of red wine each week.
  b. I take a lot of Tylenol for my arthritis pain.
  c. I have a cousin who died of liver cancer.
  d. I got a hepatitis vaccine before traveling.

[cpetit11]

Answer to Question 1

ANS:
25 mL
100 lb = 50 kg.
50 kg  5 mg/kg = 250 mg.

Answer to Question 2

ANS: B
Acetaminophen (Tylenol) can cause liver damage if taken in large amounts. Clients should be taught not to exceed 4000 mg/day of acetaminophen. The nurse should teach the client about this limitation and should explore other drug options with the client to manage his or her arthritis pain. Two glasses of wine each week, a cousin with liver cancer, and the hepatitis vaccine do not place the client at risk for a liver disorder, and therefore do not require any health teaching.

[melly21297]

Excellent

[marict]

TYSM