A 29-pound preschooler is being treated for impetigo. The primary health care provider orders 40mg/kg/day of amoxicillin/clavulanate by mouth to be administered in divided doses every 12 hours. The elixir comes in a strength of 250 mg/5 mL. How many milliliters of amoxicillin/clavulanate should the nurse administer to this client per dose? (Round to the nearest tenth).

Answer and Explanation

The Correct Answer is ["5.3"]

1 kilogram equals 2.2 pounds.

The preschooler weighs 29 pounds, which is approximately 13.18 kilograms (29/2.2). The order is for 40 mg/kg/day

13.18 kg * 40 mg/kg = 527.2 mg/day.

Since the medication is to be administered every 12 hours, divide this daily dosage by 2 to get the per dose amount: 527.2 mg/day / 2 = 263.6 mg/dose.

Now, using the concentration of the elixir, which is 250 mg/5 mL, set up a proportion to find out how many milliliters are needed for the prescribed dose: 250 mg : 5 mL = 263.6 mg : X mL.

Solving for X gives us (263.6 mg * 5 mL) / 250 mg = 5.272 mL per dose.

Rounding to the nearest tenth, the nurse should administer 5.3 mL per dose.

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Correct Answer is D

Explanation

A. In this type of traction, the child’s buttocks should be elevated slightly off the bed to maintain the correct alignment and reduce pressure on the skin. However, a 15° angle may not be specifically necessary for indicating proper traction; what matters more is that the child is positioned correctly and comfortably.
B. While a reduction in pain can indicate that the traction is effective and that the fracture is stabilized, pain management is also influenced by medication and other factors. Therefore, while this is a positive finding, it is not the most definitive indicator of proper traction.
C. However, while it is essential that the pins are secure, the effectiveness of traction is more directly related to the positioning and suspension of the legs rather than just the pin security alone.
D. In Bryant's traction, the legs should be suspended to ensure proper alignment and immobilization of the fractured femur. The traction's effectiveness is best assessed by observing that the legs are correctly suspended and aligned, allowing for the necessary rest and healing of the bone.

A. Glycosylated hemoglobin (Hgb A1C) level of 7.5 B. Random plasma glucose level of 205 C. A blood glucose prior to the noon meal of 45 D. Fasting blood glucose level of 300.

Correct Answer is C

Explanation

A. This level indicates average blood glucose over the past 2-3 months and is higher than the target range (usually under 7% for many patients with diabetes). While this result suggests the need for adjustments in management, it is not an immediate emergency.
B. A random plasma glucose level of 205 mg/dL indicates hyperglycemia, but it is not typically considered an immediate danger unless accompanied by symptoms of hyperglycemia. This level would warrant further monitoring and possibly an adjustment in treatment, but it doesn't require urgent intervention.
C. A blood glucose level of 45 mg/dL indicates hypoglycemia, which is a critical condition that requires immediate action. Hypoglycemia can lead to symptoms such as confusion, seizures, or loss of consciousness, and it must be addressed quickly, usually with fast-acting carbohydrates.
D. While a fasting blood glucose level of 300 mg/dL indicates significant hyperglycemia, it does not require immediate action like hypoglycemia does. This level indicates a need for further management but is not acutely dangerous compared to a severely low blood glucose level.

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Naxlex Comprehensive Predictor Exams

A 3-year-old is admitted for repair of a fractured femur and is placed in Bryant's traction. Which finding by the nurse indicates that the traction is working properly?

Correct Answer is D

Explanation

Which test results require the most immediate action by the nurse?

Correct Answer is C

Explanation

A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?

A client with type 1 diabetes is admitted to the emergency department for DKA. Which assessment findings should the nurse expect to note?

A client with pneumonia receiving antibiotic therapy reports white, cheesy patches in the mouth. Which intervention should the nurse implement?

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The nurse is planning nursing care for a 3-month-old infant with eczema. What would be considered a priority intervention for this client?

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