The heath care provider prescribes ampicillin 50mg/kg every 8 hours to your neonate weighing 4226 g. Ampicillin is dispensed in a 500mg vial. You need to reconstitute the ampicillin with 5mL of sterile water to yield a concentration of 100mg/mL. How many mL(s) of ampicillin will you give to your client. Round to the nearest tenth.
The Correct Answer is ["2.1"]
Step 1: Calculate the desired dose.
50 mg/kg x 4.226 kg = 211.3 mg
Step 2: Calculate the volume to administer.
211.3 mg / 100 mg/mL = 2.1 mL
Therefore, you will administer 2.1 mL of ampicillin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
Respiratory Status: The newborn is exhibiting signs of respiratory distress, including a respiratory rate of 100/min, grunting, nasal flaring, and substernal retractions. These findings indicate compromised respiratory function, which requires immediate attention to prevent hypoxemia or respiratory failure. The diffuse radiopaque areas on the chest x-ray suggest a condition like transient tachypnea of the newborn (TTN) or respiratory distress syndrome (RDS), common in low-birth-weight infants.
Temperature: After stabilizing the respiratory status, addressing the newborn’s temperature is important. The temperature of 36.3°C (97.3°F) indicates mild hypothermia, which can further compromise respiratory function and glucose metabolism if not corrected. Warming the infant with skin-to-skin contact or using a radiant warmer is necessary to maintain thermoregulation.
Correct Answer is ["A","B","C","E"]
Explanation
A. Bottle-feeding formula is associated with a higher risk of childhood obesity compared to breastfeeding, due to differences in nutrient composition and feeding regulation.
B. Formula feeding is more expensive than breastfeeding, requiring the purchase of formula, bottles, and other supplies.
C. Formula feeding increases the risk of infections such as gastroenteritis, especially if bottles and nipples are not properly sterilized.
D. Bottle-feeding may reduce the opportunity for maternal-infant bonding compared to breastfeeding, which promotes skin-to-skin contact and the release of oxytocin.
E. This is a neutral factor and not a disadvantage; the ability for others to feed the infant can provide flexibility and support for the mother.
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