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 A
Explanation
A. Use a 24-gauge catheter to start the IV.A 24-gauge catheter is appropriate for infants due to their smaller veins and the need to minimize trauma. This size allows for adequate fluid and medication administration while reducing the risk of vein damage.
B. Change the IV site every 3 days.IV sites in infants may need to be changed more frequently based on the condition of the site, the type of fluid or medication being administered, and the infant's activity level. The site should be monitored closely for signs of infiltration, phlebitis, or infection, and changed as clinically indicated.
C. Start the IV in the infant's foot.While the foot may be an acceptable site in certain situations, the hands, forearms, or scalp (in younger infants) are often preferred for IV insertion. The foot is less ideal due to the potential for the child to kick or move, increasing the risk of dislodging the IV.
D. Cover the insertion site with an opaque dressing.The insertion site should be covered with a transparent dressing to allow for continuous visualization of the site. This helps in early detection of complications such as infiltration or infection.
Correct Answer is A
Explanation
Choice A Reason:
Muscle rigidity is correct. Muscle rigidity can indicate several concerning issues postoperatively, such as complications from anesthesia, infection, or other underlying problems. It's crucial to report this finding promptly to the provider for further evaluation and appropriate management.
Choice BReason:
Some degree of abdominal pain is expected post-appendectomy, but the severity and persistence of the pain should be assessed further.
Choice CReason:
Heart rate of 63/min is within the normal range for some adolescents and might not be an immediate concern unless there are other accompanying symptoms.
Choice D Reason:
A temperature of 36.4°C (97.5°F) falls within the normal range for body temperature and might not be a cause for immediate concern unless it's accompanied by other symptoms or if there are signs of temperature changes (like fever) over time.
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