CMSRN Medical-Surgical Nursing

Category - Hematological

Ana is diagnosed to have pernicious anemia. The physician orders 0.2 mg of Cyanocobalamin (Vitamin B12) IM. Available is a vial of the drug labeled 1 ml= 100 mcg. The nurse should administer:
  1. 0.5 ml
  2. 1.0 ml
  3. 1.5 ml
  4. 2.0 ml
Explanation
Answer - D - The nurse should administer 2.0 ml. First, convert milligrams to micrograms and then use ratio and proportion (0.2 mg= 200 mcg) 200 mcg : 100 mcg= X ml : ml 100 X= 200 X = 2 ml. Inject 2 ml. to give 0.2 mg of Cyanocobalamin.
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