First, we need to convert 253 lb to kilograms. Given that 1 kg is equivalent to 2.205 lb, then:
[tex]253\text{ lb = }253\text{ lb}\cdot\frac{1\text{ kg}}{2.205\text{ lb}}\approx114.74\operatorname{kg}[/tex]The dosage Justin should receive is directly proportional to his weight. Given that a dosage of 11 mg corresponds to a weight of 20 kg, then to find the dosage that corresponds to 114.74 kg we can use the next proportion:
[tex]\frac{11\text{ mg}}{x\text{ mg}}=\frac{20\operatorname{kg}}{114.74\operatorname{kg}}[/tex]Solving for x:
[tex]\begin{gathered} 11\cdot114.74=20\cdot x \\ \frac{1262.14}{20}=x \\ 63.1\approx x \end{gathered}[/tex]He should receive a dosage of 63.1 mg