A nurse is preparing to administer amoxicillin 80 mg/kg/day divided into two doses daily to a 2-year-old client who weighs 10 kg (22 lb). Available is amoxicillin suspension 400 mg/5 mL. How many mL of amoxicillin should the nurse administer per dose?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["5"]
The dosage is 80 mg/kg/day, and the child weighs 10 kg.
80 mg/kg/day * 10 kg = 800 mg/day
Since this is divided into two doses per day:
800 mg/day ÷ 2 doses = 400 mg per dose
Now, let's determine the amount of amoxicillin suspension needed for each dose:
The amoxicillin suspension is 400 mg per 5 mL.
400 mg per dose ÷ 400 mg per 5 mL = 5 mL per dose
Therefore, the nurse should administer 5 mL of amoxicillin suspension per dose to the 2-year-old client weighing 10 kg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
"You will have your dressing removed 12 hours after the procedure." This information might be pertinent, but it's not the most critical aspect to highlight in pre-procedural teaching for a 10-year-old child.
Choice B Reason:
"You will be on bed rest for 2 days after the procedure." While some rest might be recommended after the procedure, stating a specific duration of bed rest might cause unnecessary anxiety for the child. It's important to provide accurate information without causing undue stress.
Choice C Reason:
"You will need to keep your leg straight for 8 hours following the procedure." This instruction is relevant for post-procedural care after arterial cardiac catheterization. It's important to keep the leg straight to prevent bleeding from the catheter insertion site. Explaining this in child-friendly language would be beneficial.
Choice D Reason:
"You will be on a clear liquid diet for 24 hours following the procedure." While dietary instructions might be given after the procedure, specifying a clear liquid diet might not be the most crucial information to emphasize in pre-procedural teaching for a 10-year-old child.
Correct Answer is D
Explanation
In teaching parents of a preschool-age child with heart failure, the nurse should include the following information:
Choice A Reason:
Withhold digoxin if the child's pulse is greater than 100/min. While monitoring the pulse rate is important in children taking digoxin, a pulse rate greater than 100/min alone may not always indicate the need to withhold digoxin. The decision to withhold digoxin should be based on healthcare provider instructions and specific parameters provided for the child's case.
Choice B Reason:
Increase the child's oxygen flow rate until the child no longer has cyanosis. Adjusting oxygen flow rates should be done under the guidance of healthcare providers and based on prescribed protocols. Cyanosis is a serious sign indicating decreased oxygenation and should be addressed promptly by seeking medical attention rather than attempting to adjust oxygen flow rates at home.
Choice C Reason:
Weigh the child once each month. Monitoring the child's weight is important in heart failure management to track fluid retention, but weighing the child once a month may not provide sufficient monitoring. The healthcare provider might recommend more frequent weight checks to monitor fluid status accurately.
Choice D Reason:
Provide for periods of rest. Children with heart failure often have limited cardiac reserve and can easily become fatigued. Allowing the child periods of rest is essential to conserve energy and prevent excessive fatigue or exhaustion.
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