A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["12.5"]

To calculate the dosage, first convert the child's weight to kilograms (1 kg = 2.2 lbs), so 55 lbs is approximately 25 kg. The total daily dose of ampicillin prescribed is 50 mg/kg/day, which for a 25 kg child is 1250 mg/day (50 mg/kg * 25 kg). This total daily dose should be divided into 4 equal doses, resulting in 312.5 mg per dose (1250 mg/day ÷ 4 doses/day). The concentration of the ampicillin suspension is 125 mg/5 mL, so to find out how many mL per dose, divide the dose in mg by the concentration and multiply by the volume: 312.5 mg per dose ÷ 125 mg/5 mL = 2.5 * 5 mL = 12.5 mL per dose. Therefore, the nurse should administer 12.5 mL per dose.

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Correct Answer is A

Explanation

A. Providing finger foods can enhance the client’s ability to feed themselves and may encourage eating, especially for clients with dementia who may have difficulty using utensils or concentrating on traditional meals. This approach promotes independence and can make meals more enjoyable and less stressful.

B. While reducing distractions can be helpful, completely restricting visitors might increase feelings of isolation and may not significantly impact food intake. A supportive social environment can enhance the meal experience.

C. Limiting snacks between meals can decrease overall caloric intake, which is counterproductive for a client at risk for malnutrition. Allowing healthy snacks can help maintain energy levels and supplement nutritional needs.

D. Providing three large meals may overwhelm a client with dementia, as they might struggle with portion sizes and meal structure. Smaller, more frequent meals can be more effective in encouraging intake and ensuring that the client receives adequate nutrition.

A. Orthostatic hypotension B. Type 1 diabetes mellitus C. Family history of osteoporosis D. BMI of 24

Correct Answer is B

Explanation

A. Orthostatic hypotension is not a direct risk factor for cardiovascular disease, though it can be related to other health issues.

B. Type 1 diabetes mellitus increases the risk for cardiovascular disease due to chronic hyperglycemia, which can damage blood vessels over time.

C. Osteoporosis is a risk for bone health but is not a cardiovascular risk factor.

D. A BMI of 24 is within the normal range and does not pose a cardiovascular risk.

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Naxlex Comprehensive Predictor Exams

A nurse at a long-term care facility is caring for an older adult client who has dementia and is at risk for malnutrition. Which of the following actions should the nurse take to promote an increase in food intake?

Correct Answer is A

Explanation

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?

A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

A nurse is reinforcing a teaching plan regarding proper lifting with a client. Which of the following strategies should the nurse include to prevent back injury when lifting an object?

A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?