Round dose and weight to the nearest tenth as indicated Use labels where provided.

Order: Ceclor (cefaclor) 100 mg p.o. q8h is ordered for a child weighing 32 lb.

The recommended dose is 20 to 40 mg/kg/day divided q8h.

Available:

 

Document the refusal and inform the prescriber is the appropriate action for the nurse to take if a client refuses a medication and provides a reason for refusal. The nurse should document the refusal and reason in the client’s medical record, and notify the prescriber of the refusal and the reason given by the client. The prescriber may then choose to modify the medication or the administration method, or may provide additional education or counseling to the client regarding the medication. It is important to respect the client’s autonomy and right to refuse medication, and to work collaboratively with the prescriber to ensure that the client’s care needs are met in a safe and effective manner.

First, we need to convert the child's weight from pounds to kilograms:

32 lb ÷ 2.2 lb/kg = 14.54 kg (rounded to the nearest hundredth)

Next, we'll calculate the recommended daily dose range for this child:

20 mg/kg/day × 14.54 kg = 290.8 mg/day

40 mg/kg/day × 14.54 kg = 581.6 mg/day

So the recommended dose range for this child is 290.8 to 581.6 mg/day.

To calculate the dose for each individual dose, we'll divide the total daily dose by 3 (since it's divided into three equal doses per day):

290.8 mg/day ÷ 3 = 96.9 mg/dose (rounded to the nearest tenth)

581.6 mg/day ÷ 3 = 193.9 mg/dose (rounded to the nearest tenth)

Since the available cefaclor suspension is 125 mg per 5ml, we'll need to calculate how much volume of suspension to give for each dose:

96.9 mg/dose ÷ 125 mg/5ml = 2.46 ml/dose (rounded to the nearest hundredth)

193.9 mg/dose ÷ 125 mg/5ml = 3.10 ml/dose (rounded to the nearest hundredth)

Therefore, the child should receive 2.5 ml of cefaclor suspension for each dose of 100 mg and 3.1 ml of cefaclor suspension for each dose of 200 mg.