A nurse is preparing to administer cefaclor to a preschooler who weighs 20 kg. The child is to receive cefacior 30 mg/kg/day to divide equally every 8 hr. Available is cefacior suspension 125 mg/5 mL. How many mL should the nurse administer for one dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["8"]
Prescribed Dose: 30 mg/kg/day
Child’s Weight: 20 kg
Dosing Schedule: Every 8 hours (3 doses per day)
- Calculate the total daily dose
Total Daily Dose = 30 × 20
= 600 mg/day
- Calculate the dose per administration
Dose per administration = Total Daily Dose ÷ 3
Dose per administration = 600 ÷ 3
= 200 mg per dose
- Determine the volume to administer using the available concentration
Available Concentration: 125 mg/5 mL
Volume per dose = (200 ÷ 125) × 5
Volume per dose = 1.6 × 5
Volume per dose = 8 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Implement NPO status: Clients with urolithiasis typically do not require NPO status unless they are scheduled for surgery or a procedure. Restricting oral intake unnecessarily can lead to dehydration, which may worsen stone formation or impede stone passage.
B. Place the client on bedrest: Ambulation is encouraged for clients with urolithiasis to promote urinary flow and facilitate passage of stones. Bedrest is generally not indicated unless there are complications, so restricting mobility could hinder stone expulsion.
C. Monitor the client's liver function: Liver function tests are not routinely affected by urolithiasis. Monitoring liver enzymes is unnecessary unless there is a separate hepatic condition or if the client is on medications that affect the liver.
D. Strain the client's urine: Straining urine allows for collection of passed stones, which can then be analyzed to determine stone composition. This information guides dietary recommendations, pharmacologic interventions, and prevention strategies for future stone formation.
Correct Answer is D
Explanation
A. Removing a mask after phototherapy: Removing a mask after phototherapy does not involve contact with bodily fluids or potentially contaminated surfaces. Clean gloves are not required for this activity because the risk of transmission is minimal.
B. Applying an identification bracelet: Applying a bracelet involves only superficial contact with the newborn’s skin and does not pose a risk of exposure to blood or body fluids. Standard hand hygiene is sufficient; gloves are not needed.
C. Measuring axillary temperature: Taking an axillary temperature involves minimal contact with the skin and does not expose the AP to blood or body fluids. Clean gloves are not necessary for this procedure unless there is visible soiling or open lesions.
D. Changing wet diapers: Diaper changes involve direct contact with urine and feces, which are potential sources of pathogens. Wearing clean gloves protects the AP from contamination and helps prevent the spread of infection, making glove use essential for this procedure.
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