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.

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Correct Answer is ["1000"]

Explanation

Calculation Steps:

Step 1: Determine the total volume to be infused: 500 mL. Result = 500 mL.

Step 2: Convert time from minutes to hours: 30 minutes ÷ 60 minutes/hour = 0.5 hours. Result = 0.5 hours.

Step 3: Calculate the infusion rate: 500 mL ÷ 0.5 hours = 1000 mL/hour.

Result = 1000 mL/hour.

A. Recommend that the client's family return to the area to help provide assistance. B. Advise to have a case management evaluation of the client's home environment. C. Suggest contacting social services to help find a respite care facility for her husband. D. Tell her to consider hiring a private nurse during the postoperative convalescence.

Correct Answer is B

Explanation

Choice A reason: Recommending that the client's family return to the area to help provide assistance is not always feasible and may place undue stress on the family. It is also not a sustainable long-term solution.

Choice B reason: Advising a case management evaluation of the client's home environment is the best response as it allows for a comprehensive assessment of the client's needs and resources. The case manager can help coordinate care, arrange for necessary services, and provide support for both the client and her husband.

Choice C reason: Suggesting contacting social services to help find a respite care facility for her husband is a reasonable option, but it may not be the most immediate or suitable solution for the client’s concerns. This option should be considered as part of the overall case management plan.

Choice D reason: Telling her to consider hiring a private nurse during the postoperative convalescence may be helpful, but it can be costly and may not be necessary if other support systems are in place. It should be discussed as part of the case management evaluation.

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Naxlex Comprehensive Predictor Exams

The healthcare provider (HCP) prescribes 0.9% normal saline 500 mL IV bolus to be infused over 30 minutes. How many mL/hour should the nurse set the infusion pump? (Enter numerical value only.)

Correct Answer is ["1000"]

Explanation

Correct Answer is B

Explanation

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