NORCET-11 Prelims
Pharmacology
Medium

A healthcare provider prescribes a medication dose of 45 mg intramuscularly. The medication is available in a vial labelled 80 mg per 2 mL. How many millilitres should the nurse draw into the syringe?

Appeared in: NORCET-11 Prelims

Explanation

  • Vial concentration is 80 mg in 2 mL, so 40 mg per mL.
  • Required volume = 45 mg divided by 40 mg/mL = 1.125 mL.
  • Closest answer is 1.13 mL, which is the rounded value.
  • Ensures the patient receives the exact prescribed dose.

Why Other Options Were Wrong

  • Option A: 6 mL would deliver 64 mg, which is much higher than the prescribed 45 mg.
  • Option B: 5 mL would deliver 60 mg, which is higher than the prescribed dose.
  • Option D: 1mL would deliver only 40 mg, which is less than the prescribed dose.

Related Visual

Stepwise calculation of medication volume from stock concentration and prescribed dose.
Clinical Relevance
  • Nursing practice connection: Knowing Medication dose calculation using stock concentration helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Accurate calculation prevents medication errors and ensures patient safety.
  • Nurses must double-check all calculations, especially for injectable medications.
  • What if? If the stock concentration changes, recalculate to avoid underdosing or overdosing.
How to Approach the Question
  • Read the medication order and note the prescribed dose.
  • Check the concentration of the medication available.
  • Apply the formula: Volume = Dose ordered divided by Concentration per mL.
  • Calculate and round as per policy.
  • Compare your answer to the options and select the closest correct value.
  • Double-check your calculation for safety.
Concept Tested & Keywords
  • Concept Tested: Medication dose calculation using stock concentration
  • Stem keywords: 45 mg, intramuscularly, 80 mg per 2 mL, nurse draw into syringe
  • Lead-in keywords: How many millilitres
  • Clinical cues: IM injection requires precise dosing

Question ID

Q8SX69neO8rUKJq04UkvL1

Reference Book

E6 Nursing Fundamentals Potter Perry 12e Part 3 p. 142-144

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