Problem:
The nurse is caring for an adult client diagnosed with an acute ischemic stroke who weighs 160 lbs. The provider orders initiation of an alteplase drip at 0.9 mg/kg over 1 hour. 10% of the dose should be given as a bolus over the first minute. The alteplase is reconstituted in a vial that contains 100 mg alteplase in 100 mL of sterile water. How many total milligrams of alteplase should the client receive? Round answer to the nearest tenth.