A nurse is preparing to administer amoxicillin 80 mg/kg/day to divide equally every 8 hr to a preschooler who weighs 33 lb. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["8"]
Convert the child's weight from pounds to kilograms:
- 33 lb / 2.2 = 15 kg
Calculate the total daily dose of amoxicillin:
- 80 mg/kg/day 15 kg = 1200 mg/day
Divide the total daily dose by the number of doses per day:
- 1200 mg/day / 3 doses/day = 400 mg/dose
Determine the volume of amoxicillin suspension needed for one dose:
- Available concentration: 250 mg/5 mL
- To find the volume for one dose: (400 mg) / (250 mg/5 mL) = 8 mL
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. Wearing a mask when visiting the child despite having had chickenpox is incorrect. If the guardian has already had chickenpox or received the varicella vaccine, they are immune and do not need to wear a mask when visiting the child. However, individuals who are immunocompromised or have never had chickenpox should take precautions.
B. Taking the child to the playroom after all lesions have crusted is correct. Varicella (chickenpox) is contagious until all lesions have crusted over, which usually takes about 5 to 7 days. Once crusting has occurred, the virus is no longer actively transmissible, and the child can safely interact with others.
C. Expecting the child to remain on bedrest for 3 days is incorrect. Bedrest is not a requirement for varicella unless the child has complications such as a high fever or severe discomfort. Activity should be based on the child's energy levels and overall condition.
D. Waiting to bathe the child until the crusts have fallen off is incorrect. Bathing can be done while the child still has crusted lesions, as long as the water is lukewarm and soap is mild. Oatmeal or baking soda baths can help soothe itching and prevent infection.
Correct Answer is B
Explanation
A. A 6-year-old child who is toilet trained and bedwetting is not necessarily indicative of maltreatment. Regression in behavior, such as bedwetting, may occur due to stress or developmental changes, but it can also be related to other factors like illness or changes in routine.
B. An 18-month-old child who has several bruises on their shins is concerning. While some bruises are normal in children, particularly active toddlers, multiple bruises or bruises in unusual areas (such as the torso, ears, or neck) or in various stages of healing may indicate physical abuse. A careful assessment is needed to determine if the bruises are accidental or inflicted.
C. An 8-month-old infant who has stranger anxiety is a typical developmental milestone. Stranger anxiety often occurs between 6 to 9 months of age, and it is a normal part of infant development as they begin to differentiate between familiar and unfamiliar people.
D. A 1-year-old child who kicks and screams when their parent leaves is also a normal behavior at this stage of development. Separation anxiety typically peaks between 8 to 14 months of age and is considered a normal emotional response.
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