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.)

Choice A Reason:

Have the child wear a surgical mask to school. Wearing a surgical mask to school is not a standard practice for managing sickle cell disease unless recommended during times of illness or in situations where the child is at risk of exposure to infections that could potentially trigger a sickle cell crisis.

Choice B Reason:

Limit fluids at bedtime. Adequate hydration is essential for individuals with sickle cell disease to prevent dehydration, which can trigger sickle cell crises. Limiting fluids at bedtime might not be advised; instead, encourage adequate hydration throughout the day.

Choice C Reason:

Apply cold compresses to painful areas. Cold compresses may provide temporary relief for some pain associated with sickle cell disease, but warm compresses or warm baths are generally more helpful in easing pain related to sickle cell crises.

Choice D Reason:

Encourage physical activity as tolerated. Regular physical activity, as tolerated by the child, is beneficial in managing sickle cell disease. It helps improve blood flow, reduce the risk of complications, and maintain overall health. However, it's crucial to encourage activity while considering the child's individual limitations and avoiding excessive strain or exhaustion.

Choice A Reason:

Continuous swallowing is correct. Continuous swallowing can be an indication of postoperative bleeding after a tonsillectomy and adenoidectomy. Increased swallowing may suggest blood trickling down the throat, prompting the child to swallow frequently. It's an important sign to observe for and could indicate a risk of hemorrhage.

Choice B Reason:

Heart rate 54/min. While a low heart rate (bradycardia) might be a concern in some cases, it's not a typical sign of hemorrhage after this specific surgery.

Choice C Reason:

Blood pressure 95/56 mm Hg. While a drop-in blood pressure could be concerning for hemorrhage, this blood pressure reading alone may not necessarily indicate postoperative bleeding. Monitoring trends and other signs are important for a comprehensive assessment.

Choice D Reason:

Flushing of the face. Facial flushing is not typically associated with hemorrhage after a tonsillectomy and adenoidectomy. It might be related to other factors but is not a specific indicator of bleeding following this surgery.