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 ["A","B","D","E"]
Explanation
A. Rinsing the mouth and spitting after using a steroid inhaler is essential to prevent oral thrush, a common side effect of inhaled corticosteroids. This practice helps clear residual medication from the mouth and throat, reducing the risk of fungal infections.
B. Bronchodilators, such as short-acting beta-agonists (SABAs), should be used before steroid inhalers. The bronchodilator opens the airways, allowing the steroid to reach deeper into the lungs for better efficacy.
C. While some inhalers (like rescue inhalers) may be used on a PRN basis, steroid inhalers are typically prescribed for regular, daily use to manage inflammation and control chronic conditions like asthma or COPD. They are not intended for PRN use only.
D. Frequent oral hygiene helps to reduce the risk of oral thrush and other oral health issues associated with steroid use. Patients should be encouraged to maintain good oral hygiene practices while using inhaled steroids.
E. Holding the breath for about 10 seconds after inhalation allows for better medication absorption in the lungs. This practice helps maximize the efficacy of the inhaled medication.
Correct Answer is B
Explanation
A. This statement is not necessarily true for every situation. While close contacts of a person with active TB may need to be tested and could receive preventive treatment (especially if they are at high risk), not all family members will automatically need to take medications.
B. A standard treatment regimen for active pulmonary TB typically lasts at least 6 months, and sometimes longer, depending on the specific circumstances (e.g., drug resistance, extent of disease). Consistent adherence to the medication regimen is crucial to ensure effective treatment and prevent the development of drug-resistant TB.
C. The Mantoux test (or tuberculin skin test) may remain positive even after successful treatment for TB, as it indicates past exposure rather than active disease. The decision to discontinue medications is based on clinical and microbiological evaluations, not solely on the Mantoux test result.
D. While it is crucial for the client to complete the full course of prescribed medications, they do not need to take them for life. Treatment typically lasts for 6 to 9 months, and clients should not continue medication indefinitely. It is essential to emphasize adherence to the treatment regimen but also to note that it is finite.
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