A 2-year-old is being treated for a pneumonia. The health care provider orders 15mg/kg of amoxicillin/clavulanic acid to be administered every 12 hours. The child weighs 25 pounds. The elixir comes in a strength of 250 mg/5 mL. How many mL of amoxicillin/clavulanic acid should the nurse administer to this child per dose? mL (Round to the nearest tenth)
The Correct Answer is ["3.4"]
1 pound is approximately 0.453592 kilograms.
25 pounds * 0.453592 kg/pound = 11.3398 kg Calculate the total daily dosage:
15 mg/kg/12 hours * 11.3398 kg = 170.097 mg/12 hours
170.097 mg/12 hours * 2 doses/day = 340.194 mg/day Determine the amount of elixir needed per dose:
250 mg/5 mL = 50 mg/mL (strength of the elixir)
340.194 mg/day ÷ 2 doses/day = 170.097 mg/dose
170.097 mg/dose ÷ 50 mg/mL = 3.4 mL/dose
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.
Correct Answer is C
Explanation
A. Anemia itself is not typically a direct cause of secondary hypertension. While severe anemia can sometimes lead to changes in blood pressure, it is not recognized as a common or identifiable cause of secondary hypertension. Therefore, this option is not the best answer.
B. Glaucoma primarily affects eye health and is characterized by increased intraocular pressure. While there is some association between systemic hypertension and glaucoma, glaucoma is not considered a direct cause of secondary hypertension. It’s more of a complication that can occur in patients with high blood pressure rather than a cause of it.
C. Kidney disease is one of the most common and significant causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention and changes in hormonal regulation (like the renin-angiotensin-aldosterone system). Therefore, this option is a highly identifiable cause of secondary hypertension.
D. Cataracts involve the clouding of the lens of the eye and are typically related to aging and other factors such as diabetes. While cataracts can be associated with systemic diseases like diabetes and hypertension, they are not considered a direct cause of secondary hypertension.
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