A nurse is preparing to administer clindamycin 10 mg/kg/day PO in three divided doses to a child who weighs 53 lb. Available is clindamycin oral solution 75 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["5.3"]
To calculate the correct dose of clindamycin, we need to follow these steps:
-
Convert pounds to kilograms:
- 53 lb * 0.4536 kg/lb = 24 kg
-
Calculate the daily dose in milligrams:
- 10 mg/kg/day * 24 kg = 240 mg/day
-
Calculate the dose per administration:
- Since the medication is divided into three doses, divide the daily dose by 3:
- 240 mg/day / 3 = 80 mg/dose
- Since the medication is divided into three doses, divide the daily dose by 3:
-
Determine the volume needed from the available concentration:
- 80 mg * (5 mL / 75 mg) = 5.33 mL
Therefore, the nurse should administer 5.3 mL of clindamycin per dose.
Answer: 5.3 mL
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
Answer: 0.5 teaspoons (tsp) of amoxicillin suspension per dose.
Rationale:
1. Determine the volume per dose based on medication concentration and prescribed dosage:
Amoxicillin dosage per dose: 100 mg
Amoxicillin concentration: 200 mg/5 mL (milligrams per milliliters of suspension)
We can use the following formula to find the volume to administer:
Volume (mL) = Dosage (mg) / Concentration (mg/mL)
Volume (mL) = 100 mg / 200 mg/5 mL
2. Convert milliliters (mL) to teaspoons (tsp):
1 teaspoon (tsp) is equivalent to 5 milliliters (mL) [This is a standard conversion rate]
Therefore, the volume in teaspoons (tsp) would be:
Volume (tsp) = Volume (mL) / Conversion factor (mL/tsp)
3. Round the answer to the nearest tenth:
Following these steps:
Volume (mL) = 100 mg / 200 mg/5 mL = 2.5 mL
Volume (tsp) = 2.5 mL / 5 mL/tsp = 0.5 tsp (rounded to one decimal place)
Therefore, the nurse should instruct the parent to administer 0.5 teaspoons (tsp) of amoxicillin suspension per dose.
Correct Answer is ["5","000","000"]
Explanation
The nurse should recognize that the 5 g amount is equal to 5,000,000 mcg (rounded to the nearest whole number).
Here's the conversion process:
Conversion factor: There are 1,000,000 mcg in 1 gram (g).
Calculation:
Amount in mcg = Amount in g x Conversion factor (mcg/g)
Amount in mcg = 5 g x 1,000,000 mcg/g
Rounding the answer:
Amount in mcg = 5,000,000 mcg (rounded to nearest whole number)
Therefore, the 5 g amount is equivalent to 5,000,000 mcg.
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