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.)

Answer and Explanation

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Choice A reason: While it is important for the client's family to understand signs and symptoms of diabetes, this outcome focuses on the family's knowledge rather than the client's health improvement.

Choice B reason: Expressing acceptance of changing health status is important for emotional well-being, but it does not directly address the client's physical health outcomes.

Choice C reason: Demonstrating accurate eye care procedures is part of nursing interventions, not an outcome.

Choice D reason: Maintaining blood pressure below 140/80 mm Hg is a specific, measurable, and relevant outcome for a client with type 2 diabetes, as it helps prevent complications related to hypertension and diabetes.

A. Review last partial thromboplastin time (PTT) results. B. Auscultate bowel sounds in all quadrants. C. Monitor stools for presence of blood. D. Prepare to administer warfarin. E. Assess characteristics of pain.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: Reviewing the last PTT results is important to ensure that the heparin therapy is within the therapeutic range and to assess for potential over-anticoagulation.

Choice B reason: Auscultating bowel sounds in all quadrants helps determine if there is any bowel obstruction or ileus, which can be associated with abdominal pain.

Choice C reason: Monitoring stools for the presence of blood is essential to identify gastrointestinal bleeding, which can present as tarry, black stools.

Choice D reason: Preparing to administer warfarin is not appropriate in the acute management of potential gastrointestinal bleeding and should be done based on the healthcare provider's instructions.

Choice E reason: Assessing the characteristics of pain is important to better understand the cause of abdominal pain and guide further management.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

Correct Answer is D

Explanation

A client with deep vein thrombosis (DVT) is receiving a continuous heparin IV infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.

A female client is taking alendronate, a bisphosphonate, for postmenopausal osteoporosis. The client tells the nurse that she is experiencing jaw pain. How should the nurse respond?

The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themselves and coughs frequently during the meal. Which action should the nurse implement?

Which client is best to assign to the practical nurse (PN) who is assisting the registered nurse (RN) with the care of a group of clients?

A client admitted to the psychiatric unit diagnosed with major depression wants to sleep during the day, refuses to take a bath, and refuses to eat. Which nursing intervention should the nurse implement first?

A client who fell and broke a wrist is admitted for 24-hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

A client with hemorrhoids asks for information about a high fiber diet. Which breakfast menu item(s) should the nurse suggest? Select all that apply.