A child who weighs 55 lb receives a prescription for cefotaxime 150 mg/kg/day IV in divided doses every 6 hours. How many mg should the nurse administer each day?
(Enter numerical value only.)
The Correct Answer is ["3750"]
Convert the weight to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs approximately 25 kilograms (55 ÷ 2.2). Then, multiply the weight in kilograms by the prescribed amount of medication, which is 150 mg/kg/day.
So, 25 kg × 150 mg/kg/day equals 3750 mg/day.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale
A. Blood cultures are typically obtained to identify the causative organism of the liver abscess and to monitor the effectiveness of antimicrobial therapy. While repeat blood cultures may be considered if there is concern for ongoing infection or antimicrobial resistance, they may not be the immediate priority in the context of new-onset jaundice.
B. Jaundice indicates possible liver dysfunction, which can occur due to various reasons including progression of the liver abscess, obstruction of the bile ducts, or drug-induced liver injury from antimicrobial therapy. Evaluating liver function tests (such as serum bilirubin, liver enzymes) is essential to assess the extent of liver damage and guide further management.
C. Increasing protein intake is generally not indicated as the immediate response to jaundice. While adequate nutrition is important, specific dietary adjustments should be based on comprehensive assessment findings and medical recommendations.
D. Emergency transport to an inpatient facility may be necessary if the client shows signs of severe complications such as hemodynamic instability, worsening symptoms, or acute liver failure. However, this decision should be based on a thorough assessment of the client's condition and the availability of resources at the community clinic.
Correct Answer is ["1.3"]
Explanation
Convert pounds to kilograms.
- 1 pound = 0.453592 kilograms
- 132 pounds * 0.453592 kg/pound = 59.87 kilograms
Step 2: Calculate the total dose in micrograms.
- 44 micrograms/kilogram * 59.87 kilograms = 2635.08 micrograms
Step 3: Convert micrograms to milligrams.
- 1 milligram = 1000 micrograms
- 2635.08 micrograms / 1000 micrograms/milligram = 2.63508 milligrams
Step 4: Calculate the volume to be administered.
- Concentration of lorazepam = 2 milligrams/milliliter
- Volume = Dose / Concentration
- Volume = 2.63508 milligrams / 2 milligrams/milliliter = 1.31754 milliliters
Therefore, the nurse should administer approximately 1.3milliliters of the lorazepam solution.
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