A 29-pound preschooler is being treated for impetigo. The primary health care provider orders 40mg/kg/day of amoxicillin/clavulanate by mouth to be administered in divided doses every 12 hours. The elixir comes in a strength of 250 mg/5 mL. How many milliliters of amoxicillin/clavulanate should the nurse administer to this client per dose? (Round to the nearest tenth).
The Correct Answer is ["5.3"]
1 kilogram equals 2.2 pounds.
The preschooler weighs 29 pounds, which is approximately 13.18 kilograms (29/2.2). The order is for 40 mg/kg/day
13.18 kg * 40 mg/kg = 527.2 mg/day.
Since the medication is to be administered every 12 hours, divide this daily dosage by 2 to get the per dose amount: 527.2 mg/day / 2 = 263.6 mg/dose.
Now, using the concentration of the elixir, which is 250 mg/5 mL, set up a proportion to find out how many milliliters are needed for the prescribed dose: 250 mg : 5 mL = 263.6 mg : X mL.
Solving for X gives us (263.6 mg * 5 mL) / 250 mg = 5.272 mL per dose.
Rounding to the nearest tenth, the nurse should administer 5.3 mL per dose.
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Correct Answer is C
Explanation
A. While keeping the infant content is important for overall well-being, it's not the primary focus for eczema care.
B. Antibiotics are not typically used for eczema, as it's not a bacterial infection.
C. Eczema can cause the skin to become cracked and open, making it susceptible to infection. Therefore, preventing infection is a priority.
D. While good nutrition is important for overall health, it's not the primary concern in managing eczema
Correct Answer is B
Explanation
A. Ondansetron is not indicated for treating diarrhea. While nausea can accompany diarrhea, ondansetron specifically targets nausea and vomiting rather than the underlying causes of diarrhea.
B. Ondansetron is primarily used to prevent and treat nausea and vomiting, particularly those associated with chemotherapy, radiation therapy, and postoperative recovery. If a patient is experiencing nausea and vomiting, ondansetron would be the appropriate medication to administer.
C. Ondansetron is not indicated for managing pain. Incisional pain is typically treated with analgesics, not antiemetics. While postoperative patients may experience nausea, ondansetron would not be used solely for pain relief.
D. Paralytic ileus is a condition characterized by the lack of movement in the intestines, leading to a blockage. While nausea and vomiting can occur in this condition, ondansetron is not a treatment for the underlying issue of ileus. The focus would be on managing the ileus and any complications that arise.
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