A client who weighs 22 pounds receives a prescription for amoxicillin 50 mg/kg/day PO in divided doses every 8 hours. The bottle is labeled "Amoxicillin for Oral Suspension, USP 250 mg per 5 mL." How many mL should the nurse administer with each dose?

(Enter numerical value only. If rounding is required, round to the nearest tenth.)

Answer and Explanation

The Correct Answer is ["3.3"]

Calculation Steps:

Step 1: Convert weight from pounds to kilograms: 22 pounds ÷ 2.2 = 10 kg. Result = 10 kg.

Step 2: Calculate the total daily dose of amoxicillin: 50 mg/kg/day × 10 kg = 500 mg/day. Result = 500 mg/day.

Step 3: Calculate the dose per administration: 500 mg/day ÷ 3 doses/day = 166.7 mg/dose. Result = 166.7 mg/dose.

Step 4: Determine how many mL are needed for each dose: 250 mg/5 mL = 50 mg/mL, 166.7 mg ÷ 50 mg/mL = 3.3 mL. Result = 3.3 mL.

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Correct Answer is D

Explanation

Choice A reason: Applying petroleum jelly is not recommended because it is not water-soluble and can potentially be inhaled into the lungs, posing a risk.

Choice B reason: Using a topical lidocaine analgesic is not suitable for cracked lips and nares, as it is intended for pain relief rather than moisturizing.

Choice C reason: Asking the mother what she usually uses on the child's lips and nose is helpful for gathering information but does not provide an immediate intervention.

Choice D reason: Using a water soluble lubricant is appropriate because it helps to moisturize the dry and cracked areas without posing a risk of inhalation, ensuring the child's comfort and safety.

A. EMR tracking alerts the hospital information systems of the nurse's attempts to access the record. B. Encourage the friend to share her concerns with her daughter and other family members. C. EMR safeguards prohibit access to medical records for personnel not involved in direct care of the client. D. The daughter's permission needs to be obtained before the information can be shared by the nurse. E. Review of the EMR violates client confidentiality and is not permitted legally or ethically.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: EMR tracking systems monitor and alert for unauthorized access attempts, ensuring compliance with privacy regulations.

Choice B reason: While encouraging the friend to discuss concerns is good advice, it is not directly related to the legal and ethical aspects of accessing the EMR.

Choice C reason: EMR safeguards ensure that only authorized personnel involved in direct care can access a client's medical records.

Choice D reason: Obtaining the client's permission is a prerequisite for sharing medical information, ensuring respect for client privacy and autonomy.

Choice E reason: Reviewing the EMR without proper authorization violates client confidentiality and is both legally and ethically prohibited.

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Naxlex Comprehensive Predictor Exams

While caring for a toddler receiving oxygen via face mask, the nurse observes that the child's lips and nares are dry and cracked. Which intervention should the nurse implement?

Correct Answer is D

Explanation

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition. The nurse's reply should include which information? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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A client with renal calculi is experiencing hematuria and reports severe flank pain. Which intervention should the nurse implement first?

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