A nurse is preparing to administer cefoxitin 80 mg/kg/day IV every 6 hours to a 6-year-old child who weighs 20 kg. How many mg 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.)

Choice A reason:

Preventive care focuses on measures taken to prevent diseases, rather than treating them. This includes vaccinations, screenings, and lifestyle counseling. Emergency care, which deals with immediate and acute medical conditions, does not fall under preventive care. Preventive care aims to reduce the incidence of diseases and conditions before they occur, whereas emergency care addresses urgent health issues that require immediate attention.

Choice B reason:

Tertiary care involves specialized consultative care, usually on referral from primary or secondary medical care personnel. It includes advanced medical investigation and treatment, such as cancer management, neurosurgery, cardiac surgery, and other complex medical and surgical interventions. Emergency care, which provides immediate treatment for acute illnesses and injuries, is not categorized under tertiary care. Tertiary care is more about long-term and specialized treatment.

Choice C reason:

Primary care is the first point of contact for individuals entering the healthcare system. It includes general health care services provided by physicians, nurse practitioners, and physician assistants. Primary care focuses on overall health maintenance, disease prevention, and the treatment of common illnesses and conditions. Emergency care, which deals with acute and urgent medical conditions, is not part of primary care. Primary care providers may refer patients to emergency care when immediate attention is needed.

Choice D reason:

Secondary care involves specialized medical services provided by specialists after referral from a primary care provider. It includes services such as cardiology, dermatology, and orthopedics. Emergency care, which provides immediate treatment for acute medical conditions, is considered part of secondary care. Emergency departments in hospitals are staffed by specialists who provide urgent and critical care to patients.

Step 1: Calculate the total daily dosage in mg. 80 mg/kg/day × 20 kg = 1600 mg/day

Result at each step = 1600 mg/day

Step 2: Determine the number of doses per day. 24 hours ÷ 6 hours = 4 doses/day

Result at each step = 4 doses/day

Step 3: Calculate the dosage per dose. 1600 mg/day ÷ 4 doses/day = 400 mg/dose

Result at each step = 400 mg/dose

The nurse should administer 400 mg per dose.