A child (14kg) is ordered Clindamycin Suspension 120mg PO every 6 hours.
The safe dose is 8-25mg/kg/day.
What is the minimum dose the child should receive per day?
The Correct Answer is ["112"]
Step 1: Calculate the minimum daily dose based on the safe dose range. Minimum safe dose per kg = 8 mg/kg/day. Child's weight = 14 kg. Minimum daily dose = 8 mg/kg/day × 14 kg = 112 mg/day. The minimum dose the child should receive per day is 112 mg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While obtaining a magnesium level is important for monitoring therapeutic range (typically 4-7 mEq/L), the client's current signs of respiratory depression (8/min) and absent deep tendon reflexes indicate severe magnesium toxicity, a life-threatening emergency. Immediate intervention is required to prevent respiratory arrest and cardiac complications.
Choice B rationale
Administering calcium gluconate is the antidote for magnesium sulfate toxicity because calcium ions competitively antagonize the effects of magnesium at the neuromuscular junction, reversing respiratory depression and cardiac effects. However, the priority action is to stop the causative agent first before administering the antidote.
Choice C rationale
Stopping the magnesium sulfate infusion is the most immediate and critical action to prevent further escalation of magnesium toxicity. The respiratory rate of 8/min is indicative of significant respiratory depression, a severe complication. Halting the infusion prevents additional magnesium from entering the bloodstream, allowing the body to excrete the excess.
Choice D rationale
Taking the client's blood pressure is part of a complete assessment; however, it is not the most immediate priority when the client is exhibiting severe signs of respiratory depression and absent deep tendon reflexes. These signs suggest impending respiratory arrest, which requires immediate intervention to preserve life.
Correct Answer is ["0.25"]
Explanation
Step 1 is to convert the child's weight from pounds to kilograms:. 13.2 lbs ÷ 2.2 lbs/kg = 6 kg.
Step 2 is to calculate the ordered dose in mg:. 25 mcg = 0.025 mg.
Step 3 is to calculate the volume to be drawn up for a single dose:. 0.025 mg ÷ (0.1 mg/mL) = 0.25 mL.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.