A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number
The Correct Answer is ["300"]
To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.
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Correct Answer is B
Explanation
A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.
B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.
C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.
D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.
Correct Answer is B
Explanation
A. Switching to a different formula may not address the underlying issue and could lead to further complications.
B. Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.
C. Giving oral rehydration solutions is not appropriate before assessing the infant's condition, especially if there’s a possibility of a serious underlying issue.
D. While burping is generally recommended, it is not the solution to the problem of projectile vomiting and does not address the need for urgent assessment.
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