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What is the maximum safe dose of amikacin that the nurse should expect to administer per day to a client weighing 176 lb?

1) 660 mg
2) 880 mg
3) 1100 mg
4) 1320 mg

Answer :

Final answer:

The maximum safe dose of amikacin for a client weighing 176 lb would be approximately 1100 mg/day.

Explanation:

The maximum safe dose of amikacin for adults is typically 15 mg/kg/day, divided into 2 or 3 doses. If we convert the client's weight to kilograms (1 lb = 0.45 kg), the client weighs about 79.5 kg. Thus, the maximum safe dose of amikacin for this client would be about 15 mg/kg/day x 79.5 kg which equals 1192.5 mg/day. Among the options provided, 1100 mg (option 3) would be the highest safe dose closest to this calculation.

The maximum safe dose of amikacin for a client weighing 176 lb can be calculated using the dose calculation formula:

Dose = Weight (in kg) * Dose per kg

To convert pounds to kilograms, divide the weight in pounds by 2.2:

Weight = 176 lb / 2.2 = 80 kg

The maximum safe dose of amikacin is 15 mg/kg/day. Therefore, the nurse should expect to administer:

Maximum Dose = 80 kg * 15 mg/kg/day

Maximum Dose = 1200 mg/day

From the answer choices provided, the closest option is 3) 1100 mg. However, the correct answer is 4) 1320 mg as it is the next highest dose within the safe range for the client's weight.

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