A medicine ordered q4h would be given how many times a day?

First, we need to convert the child's weight from pounds to kilograms:

32 lb ÷ 2.2 lb/kg = 14.54 kg (rounded to the nearest hundredth)

Next, we'll calculate the recommended daily dose range for this child:

20 mg/kg/day × 14.54 kg = 290.8 mg/day

40 mg/kg/day × 14.54 kg = 581.6 mg/day

So the recommended dose range for this child is 290.8 to 581.6 mg/day.

To calculate the dose for each individual dose, we'll divide the total daily dose by 3 (since it's divided into three equal doses per day):

290.8 mg/day ÷ 3 = 96.9 mg/dose (rounded to the nearest tenth)

581.6 mg/day ÷ 3 = 193.9 mg/dose (rounded to the nearest tenth)

Since the available cefaclor suspension is 125 mg per 5ml, we'll need to calculate how much volume of suspension to give for each dose:

96.9 mg/dose ÷ 125 mg/5ml = 2.46 ml/dose (rounded to the nearest hundredth)

193.9 mg/dose ÷ 125 mg/5ml = 3.10 ml/dose (rounded to the nearest hundredth)

Therefore, the child should receive 2.5 ml of cefaclor suspension for each dose of 100 mg and 3.1 ml of cefaclor suspension for each dose of 200 mg.

As a healthcare professional, a nurse has a legal and ethical responsibility to ensure that medication administration is safe and effective for the patient. If a nurse administers medication that is unsafe, they can be held liable for the error. It is important for nurses to follow medication administration protocols, verify medications before administering them, and report any errors or concerns to the appropriate parties.