A client who weighs 22 pounds receives a prescription for amoxicillin 50 mg/kg/day PO in divided doses every 8 hours. The bottle is labeled "Amoxicillin for Oral Suspension, USP 250 mg per 5 mL." How many mL should the nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest tenth.)
The Correct Answer is ["3.3"]
Calculation Steps:
Step 1: Convert weight from pounds to kilograms: 22 pounds ÷ 2.2 = 10 kg. Result = 10 kg.
Step 2: Calculate the total daily dose of amoxicillin: 50 mg/kg/day × 10 kg = 500 mg/day. Result = 500 mg/day.
Step 3: Calculate the dose per administration: 500 mg/day ÷ 3 doses/day = 166.7 mg/dose. Result = 166.7 mg/dose.
Step 4: Determine how many mL are needed for each dose: 250 mg/5 mL = 50 mg/mL, 166.7 mg ÷ 50 mg/mL = 3.3 mL. Result = 3.3 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A reason: The healthcare power of attorney is important but not the first piece of information to report in this acute situation.
Choice B reason: The reason for admission provides context but is secondary to the current critical issue.
Choice C reason: Increasing confusion is the immediate concern that needs to be addressed first in the SBAR report.
Choice D reason: Currently prescribed medications are relevant but come after addressing the acute change in the client's condition.
Correct Answer is A
Explanation
Choice A reason: This client is relatively stable and the care required is within the scope of practice for a practical nurse (PN). Postoperative care for a laparoscopic cholecystectomy typically involves monitoring vital signs, pain management, and encouraging early ambulation, which the PN can perform with supervision.
Choice B reason: The older client with a colostomy for colon cancer may require more complex care and education about stoma management, which might be better suited for the RN.
Choice C reason: An older adult scheduled for foot amputation due to diabetes complications may have complex needs related to diabetes management and preoperative care, which require the RN's expertise.
Choice D reason: An adult with alcoholism, cirrhosis, and hepatic encephalopathy requires close monitoring for changes in mental status and liver function, which is more appropriate for the RN to manage.
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