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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While fever and anorexia can occur with active TB, a fever of more than 104°F is uncommon. Typically, TB may cause a low-grade fever rather than such a high temperature. Anorexia is also present, but this option does not fully capture the classic symptoms of active TB.
B. These symptoms are not typical of tuberculosis. Headaches and photophobia are more associated with conditions affecting the central nervous system, such as meningitis or migraines. They do not specifically relate to active TB.
C. These symptoms are classic indicators of active tuberculosis. Fatigue and night sweats are common, and hemoptysis (coughing up blood) is a serious symptom that can occur in pulmonary TB. This combination of symptoms is a hallmark of the disease and would prompt further investigation.
D. While chest pain can occur due to lung involvement in TB, lower back pain is not a typical symptom of pulmonary TB. Chest pain might be experienced, but it is not as definitive as the other symptoms associated with active TB.
Correct Answer is D
Explanation
A. These symptoms are more indicative of a respiratory infection, such as sinusitis or pneumonia.
B. These symptoms are more suggestive of a respiratory obstruction, such as croup or epiglottitis.
C. These symptoms are characteristic of sinusitis.
D. Acute pharyngitis often presents with a red and inflamed pharyngeal membrane (throat), along with fever.
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