A nurse is preparing to administer acetaminophen 15 mg/kg PO to a preschool child for fever. The child weighs 30 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["6.4"]
Convert the child's weight from pounds to kilograms:
Weight in pounds: 30 lb
Conversion: 1 lb ≈ 0.454 kg
Weight in kg: 30 lb× 0.454 kg/lb =13.62 kg
30lb×0.454kg/lb=13.62kg
Calculate the dose in mg:
Dose: 15 mg/kg
15 mg/kg ×13.62kg=204.3 mg
Determine the volume to administer:
Available concentration: 160 mg/5 mL
Volume in mL:
204.3 mg ÷160 mg/5 mL
= 204.3mg×5ml ÷160mg
=6.4mL
The nurse should administer 6.4 mL of acetaminophen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Pain: This is the most common and significant symptom of a vaso-occlusive crisis in sickle cell disease. The sickled cells block blood flow, leading to intense pain and tissue ischemia.
B. Vomiting: Vomiting is not a typical finding associated with a vaso-occlusive crisis. While it may occur due to other complications or treatments, it is not directly related to the crisis itself.
C. Constipation: Constipation is not a typical symptom of a vaso-occlusive crisis. It may occur due to decreased activity or medication side effects, but it is not directly linked to the sickle cell crisis.
D. Bradycardia: Bradycardia is not expected in a vaso-occlusive crisis. The crisis usually involves pain and stress, which might increase the heart rate rather than decrease it.
Correct Answer is ["6.4"]
Explanation
Convert the child's weight from pounds to kilograms:
Weight in pounds: 30 lb
Conversion: 1 lb ≈ 0.454 kg
Weight in kg: 30 lb× 0.454 kg/lb =13.62 kg
30lb×0.454kg/lb=13.62kg
Calculate the dose in mg:
Dose: 15 mg/kg
15 mg/kg ×13.62kg=204.3 mg
Determine the volume to administer:
Available concentration: 160 mg/5 mL
Volume in mL:
204.3 mg ÷160 mg/5mL
= 204.3mg×5ml ÷160mg
=6.4mL
The nurse should administer 6.4 mL of acetaminophen.
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