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:
The Correct Answer is ["3.10"]
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Norepinephrine and epinephrine are catecholamines released by the adrenal medulla during the "fight or flight" response. They have several physiological effects, including increasing heart rate, pupil dilation, and blood pressure. Additionally, epinephrine causes bronchodilation, while norepinephrine causes vasoconstriction. Therefore, the nurse should monitor the client for signs of hypertension, tachycardia, and increased respiratory rate.
Increased urine output, is incorrect because catecholamines decrease urine output by activating the renin-angiotensin-aldosterone system.
Constriction of blood vessels is incorrect because norepinephrine causes vasoconstriction, not vasodilation.
Correct Answer is A
Explanation
These are important principles that nurses follow to ensure that medications are given safely and accurately to clients. The six rights are:
1. Right medication: ensuring that the medication being administered is the correct one prescribed for the client.
2. Right dose: ensuring that the correct amount of medication is given to the client.
3. Right route: ensuring that the medication is given via the correct route (oral, topical, intravenous, etc.). 4. Right time: ensuring that the medication is given at the correct time as per the prescribed schedule. 5. Right client: ensuring that the medication is given to the correct client/patient by verifying their identity. 6. Right documentation: ensuring that the medication administration is accurately documented, including themedication name, dose, route, time, and any adverse reactions or other pertinent information. The other answer choices do not accurately represent the six rights of medication administration.
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