A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin 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 ["5"]
Step 1 is: Convert the child's weight from pounds to kilograms: 33 lb ÷ 2.2 = 15 kg.
Step 2 is: Calculate the total daily dose: 50 mg/kg/day × 15 kg = 750 mg/day.
Step 3 is: Calculate the dose per administration (every 8 hours, which is 3 times a day): 750 mg/day ÷ 3 = 250 mg/dose.
Step 4 is: Determine the volume of medication to administer: 250 mg ÷ (250 mg/5 mL) = 5 mL.
Final calculated answer: 5 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Choice A rationale
Allowing the toddler to inspect the stethoscope helps to reduce anxiety and build trust during the examination. This approach can make the child feel more comfortable and cooperative, facilitating a smoother and more thorough assessment.
Choice B rationale
While removing outer clothing is necessary for certain examinations, it should be done in a manner that respects the toddler's comfort and privacy. Gradually introducing the examination process is often more effective.
Choice C rationale
Performing traumatic procedures first can increase the toddler's anxiety and resistance to further examination. It is better to start with less invasive procedures to build trust and cooperation.
Choice D rationale
Allowing the toddler to sit in the parent's lap can provide comfort and reduce anxiety during the examination. This approach supports a more positive experience for the child.
Correct Answer is B
Explanation
Choice A rationale
Bolus gavage feedings may increase the risk of aspiration and are not recommended for infants with heart failure.
Choice B rationale
Providing feedings every 3 hours helps ensure the infant receives adequate nutrition without overloading their heart and digestive system, which can be beneficial for managing heart failure.
Choice C rationale
Placing the infant in a lateral position during feeding is not recommended as it may increase the risk of aspiration. The semi-upright position is preferable.
Choice D rationale
Diluting formula to half strength is not appropriate as it can lead to inadequate nutrition and electrolyte imbalances. .
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