A child weighs 52 lb. The child has a fever and the doctor orders acetaminophen. The safe dose range of this medication is 10-15 mg/kg every 6 hours. What is the maximum safe daily dose of the medication the client can receive? Round to the nearest whole number. Record numerical answers only.
The Correct Answer is ["1418"]
Convert the child's weight from pounds (lb) to kilograms (kg).
Weight in kg = 52 lb / 2.2 lb/kg
= 23.636 kg.
Maximum safe dose per kilogram per administration = 15 mg/kg.
Calculate the maximum single dose in milligrams (mg).
Maximum single dose (mg) = Maximum dose per administration (mg/kg) × Weight (kg)
= 15 mg/kg × 23.636 kg
= 354.54 mg.
Determine the number of times the medication can be administered per day.
Given every 6 hours, Number of doses per day = 24 hours / 6 hours/dose
= 4 doses/day.
Calculate the maximum safe daily dose of the medication.
Maximum safe daily dose (mg) = Maximum single dose (mg) × Number of doses per day
= 354.54 mg × 4 doses
= 1418.16 mg.
Round the answer to the nearest whole number.
= 1418 mg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. On the stomach with a pillow under her breasts: Sleeping on the stomach is not recommended during pregnancy as it becomes increasingly uncomfortable and impractical as pregnancy advances due to the growing uterus.
B. On the side with the weight of the uterus on the bed: This is the recommended position for pregnant women, especially in the second and third trimesters. Sleeping on the left side is particularly beneficial as it improves blood circulation, reduces pressure on the vena, and promotes better blood flow to the placenta and fetus.
C. On the back with a pillow under the knees and hips: Sleeping on the back is generally not recommended after the first trimester because the weight of the uterus can compress the major blood vessels, such as the inferior vena cava, reducing blood flow to the fetus.
D. On the back with a pillow under the head: While this position may be comfortable, sleeping on the back during pregnancy can lead to reduced blood flow to the fetus, especially in the later stages of pregnancy, and is generally not recommended. The side position is preferred.
Correct Answer is C
Explanation
A. "Your baby is making urine so this is adding to what's in your bladder.": While the baby does produce urine, it is not stored in the mother's bladder. The baby’s urine is filtered through the placenta and into the amniotic fluid, not contributing directly to the mother's urinary frequency.
B. "Your kidneys now have less cells to filter the fluid that goes through": Pregnancy increases kidney function. The kidneys filter more blood and produce more urine to accommodate the increased blood volume in the body, but frequent urination is not due to fewer cells.
C. "Your growing uterus is putting pressure on your bladder causing you to go": During early pregnancy, the growing uterus starts to exert pressure on the bladder, which leads to increased frequency of urination. This is a common and normal symptom during pregnancy.
D. "Your urine is more concentrated now, so you have to go more often": Pregnancy does not cause urine to be more concentrated, but rather it increases the volume of urine due to the increased blood volume and kidney function. The frequency is due to pressure on the bladder, not changes in urine concentration.
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