The healthcare provider prescribed amoxicillin 20 mg/kg by mouth (PO) every 8 hours for a toddler with otitis media who weighs 33 pounds (15 kg). The medication is labeled, "125 mg/5mL." How many mL should the nurse administer?
(Enter the numerical value only. If rounding required, round to the nearest whole number.)
The Correct Answer is ["12"]
To calculate the amount of amoxicillin in mL to administer to a toddler weighing 15 kg, you can use the following calculation:
Dose (in mg) = Weight (in kg) x Dose (in mg/kg)
Dose (in mg) = 15 kg x 20 mg/kg = 300 mg
Now, you want to convert the dose to mL using the provided concentration:
Concentration = 125 mg/5 mL
Now, calculate the mL needed:
Volume (in mL) = Dose (in mg) / Concentration (in mg/mL)
Volume (in mL) = 300 mg / 125 mg/5 mL = 12 mL
So, the nurse should administer 12 mL of amoxicillin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Continuous pulse oximetry monitoring is indicated for assessing oxygen saturation and respiratory status, especially in a client with a history of chronic kidney disease and a previous septic episode. It helps monitor the client's respiratory function.
Calculation of intake and output is indicated to assess fluid balance, which is crucial in clients with chronic kidney disease and a history of acute kidney injury. It helps monitor fluid management.
Daily weights are indicated to monitor fluid retention and changes in the client's weight, which can be affected by the client's kidney condition and the administration of intravenous fluids.
IV 0.9% normal saline continuous infusion at 100 mL/hr is indicated to maintain hydration and promote renal function in clients with chronic kidney disease. It helps ensure adequate fluid balance.
IV potassium-sparing diuretics may be contraindicated because they can potentially affect electrolyte balance, and in some cases, they might not be suitable for clients with chronic kidney disease. The use of diuretics should be carefully evaluated and managed by the healthcare provider.
Correct Answer is C
Explanation
A. Weight loss can occur in acute glomerulonephritis due to decreased appetite and fluid imbalances, but it is not as immediately concerning as low blood pressure.
B. A positive rapid strep test of the oropharynx suggests streptococcal infection, which can be a cause of acute glomerulonephritis. It's important to report this finding to the healthcare provider, but the low blood pressure is of more immediate concern.
C. Blood pressure 88/50 mm Hg.
Acute glomerulonephritis can lead to various signs and symptoms, including fatigue, facial puffiness, decreased appetite, and dark urine, due to the presence of blood and protein in the urine. However, the drop in blood pressure (88/50 mm Hg) is a significant finding that may suggest potential complications or worsening renal function. Low blood pressure can result from fluid shifts, reduced circulating blood volume, and decreased cardiac output in acute glomerulonephritis. It should be reported to the healthcare provider for further evaluation and management.
D. A maculopapular rash over the trunk of the body is not a typical finding associated with acute glomerulonephritis. While it may be significant for other reasons, it may not be directly related to the child's kidney condition.
Monitoring and addressing blood pressure changes is a crucial aspect of managing acute glomerulonephritis, and the healthcare provider should be informed promptly to assess and address this issue.
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