A 2-year-old is being treated for a pneumonia. The health care provider orders 15mg/kg of amoxicillin/clavulanic acid to be administered every 12 hours. The child weighs 25 pounds. The elixir comes in a strength of 250 mg/5 mL. How many mL of amoxicillin/clavulanic acid should the nurse administer to this child per dose? mL (Round to the nearest tenth)
The Correct Answer is ["3.4"]
1 pound is approximately 0.453592 kilograms.
25 pounds * 0.453592 kg/pound = 11.3398 kg Calculate the total daily dosage:
15 mg/kg/12 hours * 11.3398 kg = 170.097 mg/12 hours
170.097 mg/12 hours * 2 doses/day = 340.194 mg/day Determine the amount of elixir needed per dose:
250 mg/5 mL = 50 mg/mL (strength of the elixir)
340.194 mg/day ÷ 2 doses/day = 170.097 mg/dose
170.097 mg/dose ÷ 50 mg/mL = 3.4 mL/dose
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Insomnia is not a common side effect of rifampin. While individual responses to medications can vary, the typical side effects of rifampin do not generally include sleep disturbances. More common side effects include gastrointestinal upset, rash, and liver enzyme changes.
B. The treatment duration for rifampin in the context of active tuberculosis is typically much longer than 1 month. Standard therapy often lasts for at least 6 months and may vary depending on the specific treatment regimen and patient response.
C. Rifampin is generally recommended to be taken on an empty stomach, either 1 hour before or 2 hours after meals, to enhance absorption. Taking it with food may reduce its effectiveness. This information is crucial for ensuring the medication works optimally.
D. One of the notable side effects of rifampin is that it can cause urine, sweat, tears, and other bodily secretions to turn a reddish-orange color. This is harmless but important for the patient to be aware of, as it can cause concern or confusion regarding potential blood in urine or other secretions.
Correct Answer is C
Explanation
A. While obtaining a peak flow reading can provide valuable information about the child’s lung function and severity of the exacerbation, it is not the priority action during a status asthmaticus situation. The immediate focus should be on reversing the acute bronchospasm and ensuring the child can breathe effectively.
B. Identifying the cause of the asthma exacerbation (such as allergens, respiratory infections, or environmental factors) is important for long-term management and prevention. However, during a crisis, the priority is to address the immediate respiratory distress rather than to investigate the underlying cause.
C. Short-acting beta-2 agonists (e.g., albuterol) are the first-line treatment during an acute asthma exacerbation because they work quickly to relax bronchial smooth muscle and relieve airway obstruction. Administering a SABA can rapidly improve the child's breathing and oxygenation.
D. Inhaled glucocorticoids (e.g., fluticasone) are used to reduce inflammation in the airways and are important in long-term asthma management. However, they do not act as quickly as SABAs and are not the first step in the acute management of status asthmaticus. While they may be part of the treatment plan, they should follow the administration of a SABA during an acute episode.
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