A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?
Round the amount to be administered to the nearest whole number.
Calculate the dosage in milligrams.
Calculate the dosage in milliliters.
Convert the client's weight to kilograms.
The Correct Answer is D
Choice A rationale:
Rounding the amount to be administered to the nearest whole number is a step that may be necessary, but it should not be the first action taken. The nurse should first ensure that the dosage calculation is accurate and based on the client's weight in kilograms. Once the dosage in milligrams is calculated, rounding can be considered.
Choice B rationale:
Calculating the dosage in milligrams is an essential step, but it is not the first action the nurse should take. To determine the correct dosage in milligrams, the nurse needs to convert the client's weight from pounds to kilograms first, as the medication order is given in milligrams per kilogram.
Choice C rationale:
Calculating the dosage in milliliters is not the first action to take because the medication is available in milligrams, and the order is based on weight in kilograms. Converting the weight to kilograms is the initial step to ensure that the dose is calculated correctly.
Choice D rationale:
Converting the client's weight to kilograms is the first and most crucial step in this dosage calculation. The medication order is given in milligrams per kilogram, and the client's weight is provided in pounds. To ensure accurate dosing, the nurse must convert the weight to kilograms, as this is the foundation for calculating the correct dosage in milligrams.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
In this scenario, the nurse is gathering evidence-based practice on catheter-associated urinary tract infections (CAUTI). By collecting evidence-based information and research on this topic, the nurse is acting in the role of a researcher. Research in healthcare is essential to stay current with best practices, guidelines, and recommendations, and it helps inform clinical decision-making.
Choice B rationale:
A nurse manager is responsible for overseeing nursing staff, unit operations, and ensuring that the unit operates efficiently and safely. While a nurse manager may use evidence-based information to guide decisions, the primary role described in this scenario is that of a researcher, as the nurse is focused on gathering evidence-based practice on a specific topic.
Choice C rationale:
An educator's primary role is to teach and educate others, such as patients, families, or fellow healthcare professionals. While education often involves the use of evidence-based information, in this scenario, the nurse is primarily focused on gathering evidence rather than directly educating others.
Choice D rationale:
A case manager is responsible for coordinating and managing a patient's care, often involving multiple aspects of healthcare and social services. While case managers may use evidence-based information in their decision-making, the primary role described in this scenario is that of a researcher, as the nurse is focused on gathering evidence-based practice related to CAUTI, not managing a specific patient's case.
Correct Answer is B
Explanation
Choice A rationale:
"Questioning" is an important aspect of critical thinking, but it is not one of the specific steps in the critical thinking process. Critical thinking involves a systematic approach to problem-solving, and questioning is a skill used throughout the process to gather information, clarify concepts, and identify issues.
Choice B rationale:
"Analysis" is one of the key steps in the critical thinking process. Analyzing data involves breaking down information, identifying patterns, and drawing conclusions based on evidence. It is a fundamental aspect of critical thinking and problem-solving in healthcare.
Choice C rationale:
"Intuition" is an important but more subjective aspect of decision-making. It involves a gut feeling or instinct that may guide a healthcare provider's choices, but it is not a formal step in the critical thinking process. Intuition can be influenced by one's experience and knowledge.
Choice D rationale:
"Creativity" can be a valuable skill in critical thinking, but it is not a specific step in the process. Creativity may be used to generate innovative solutions to problems, but the formal steps of critical thinking involve gathering data, analyzing it, and making evidence-based decisions. .
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