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
Explanation
Establish the identity of the client should be the first priority when a nurse is administering a medication at the bedside.
It is essential to verify the identity of the client before administering any medication to ensure that the medication is being given to the right person. This can be done by asking the client to state their name and verifying it with their medical record or identification band. Once the nurse has established the client's identity, they can proceed to administer the medication.
Documenting the administration of the medication is important but should not take priority over verifying the client's identity. Rechecking the medication label is also important but can be done after the nurse has established the client's identity and is preparing to administer the medication. Obtaining orange juice for the client to take with the medication is not a priority action and can be done after the medication has been administered.
Correct Answer is A
Explanation
As a healthcare professional, a nurse has a legal and ethical responsibility to ensure that medication administration is safe and effective for the patient. If a nurse administers medication that is unsafe, they can be held liable for the error. It is important for nurses to follow medication administration protocols, verify medications before administering them, and report any errors or concerns to the appropriate parties.
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