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 B
Explanation
Choice A rationale:
The statement "Identifies viruses across the world" is not an accurate description of the Healthy People 2030 framework. This framework focuses on health objectives and goals for Americans, not the identification of viruses. It is designed to improve the health and well-being of people in the United States, not to identify viruses globally.
Choice C rationale:
The statement "Utilizes health data from the past 20 years" is not a primary purpose of the Healthy People 2030 framework. While it may incorporate historical health data to inform its objectives, the framework's main goal is to set health objectives for the future, not exclusively based on past data. It aims to address current and future health needs and challenges.
Choice D rationale:
The statement "Monitors nonmodifiable risk factors" does not accurately describe the main focus of the Healthy People 2030 framework. While the framework may consider various health risk factors, it primarily concentrates on setting health objectives and goals to improve the health of Americans. The monitoring of nonmodifiable risk factors is not its central purpose.
Correct Answer is ["C","D","E"]
Explanation
The correct answer is to select the following three findings that require immediate follow-up:C. Urticaria,D. Blood pressure at 1630, andE. Report of dysphagia.
Choice A rationale:
“Breath sounds at 1600.” The breath sounds at 1600 were clear and present throughout, which is a normal finding and does not require immediate follow-up.
Choice B rationale:
“Temperature.” The temperature readings at both 1600 and 1630 are slightly elevated but not critically high. This does not require immediate follow-up compared to the other findings.
Choice C rationale:
“Urticaria.” The presence of urticaria (hives) indicates an allergic reaction, which can potentially escalate to a more severe reaction such as anaphylaxis.Immediate follow-up is necessary to prevent further complications.
Choice D rationale:
“Blood pressure at 1630.” The blood pressure at 1630 is significantly lower (78/52 mm Hg) compared to the earlier reading (110/58 mm Hg).This hypotension could indicate a serious reaction to the medication or another underlying issue that requires prompt attention.
Choice E rationale:
“Report of dysphagia.” The client’s report of difficulty swallowing and feeling a lump in their throat is concerning for a potential airway obstruction or severe allergic reaction, such as anaphylaxis.This symptom requires immediate follow-up to ensure the client’s airway remains open and to provide necessary interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.