A child with a bacterial infection is prescribed penicillin. The provider orders 25,000 units/kg/day of penicillin to be given every four hours. The client weighs 56.9 lb. How many units will the nurse administer to the client for one dose? Round to the nearest whole number. Record numerical answer only.
The Correct Answer is ["107765"]
Convert the client's weight from pounds (lb) to kilograms (kg).
Weight in kg = 56.9 lb / 2.2 lb/kg
= 25.8636 kg.
Calculate the total daily dose in units.
Total daily dose (units) = Prescribed dose (units/kg/day) × Weight (kg)
= 25,000 units/kg/day × 25.8636 kg
= 646590 units/day.
Determine the number of doses per day.
Doses are given every 4 hours, so Number of doses per day = 24 hours / 4 hours/dose
= 6 doses/day.
Calculate the dose per administration in units.
Dose per administration (units) = Total daily dose (units) / Number of doses per day
= 646590 units / 6 doses
= 107765 units.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wipe it off at least 15 minutes before the procedure: EMLA cream should be left on the skin for a sufficient amount of time to be effective, and it should not be wiped off too soon. It is typically left on for about 1 hour to ensure adequate numbing.
B. Do not cover it after application to prevent it from discoloring: EMLA cream should be covered with a dressing (such as plastic wrap) after application to help the cream stay in place and improve absorption. It should not be left uncovered.
C. Apply it immediately prior to the painful procedure: EMLA cream needs time to work, and applying it right before the procedure will not provide enough time for numbing. It should be applied at least 1 hour before the procedure for effective pain relief.
D. Apply it at least 1 hour before the procedure: EMLA cream should be applied at least 1 hour before the procedure to allow adequate time for the cream to penetrate the skin and provide effective local anesthesia.
Correct Answer is D
Explanation
A. Abdominal discomfort: While burping can help relieve some discomfort after feeding, the primary concern following pyloric stenosis surgery is avoiding pressure on the incision line, rather than just abdominal discomfort.
B. Intestinal obstruction: Burping after feedings can help reduce the buildup of air in the stomach, but it is not directly aimed at preventing intestinal obstruction. Obstruction is more related to the surgical site and healing process, not the burping.
C. Contaminating flatulence: Flatulence is not a concern related to burping after pyloric stenosis surgery. Burping is done to release air swallowed during feeding, not to manage flatulence.
D. Pressure on the incision line: Burping helps to release any air swallowed during feeding, reducing abdominal distention and minimizing pressure on the surgical site. This is important to ensure proper healing and comfort after the procedure.
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