A nurse is preparing to administer sucralfate 80 mg/kg/day to divide into four doses per day to a child who weighs 35 kg.
The amount available is sucralfate oral suspension 1 g/10 mL. How many mL 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 ["7"]
Determine the total daily dose required in milligrams:
The prescribed dose is 80 mg/kg/day.
The child's weight is 35 kg.
Total daily dose=80mg/kg/day×35kg
Calculate the total daily dose:
Total daily dose=2800mg/day
Divide the total daily dose into four doses:
Dose per administration: 2800mg/day ÷ 4 =700mg
Determine the volume of the oral suspension to administer per dose:
The available concentration of sucralfate oral suspension is 1 g/10 mL.
Convert 1 g to mg:
1g=1000mg.
Calculate the volume needed for 700 mg:
Volume (mL) = Desired dose (mg)÷Concentration (mg/mL)
Concentration = 1000mg÷10mL = 100mg/mL
Volume (mL) = 700 mg ÷ 100mg/mL
= 7 mL
Therefore, the nurse should administer 7 mL of sucralfate oral suspension per dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
According to the CDC1, chlorine bleach is an effective disinfectant for killing C. difficile spores on environmental surfaces.
It should be used in a 1:10 dilution of household bleach and water, freshly mixed daily.
Chlorine bleach can also kill other pathogens that may be present in the room of a client with C. difficile infection.
Choice A is wrong because chlorhexidine is not effective against C. difficile spores.
Chlorhexidine is an antiseptic that can be used for hand hygiene and surgical asepsis, but it does not kill spores.
Choice B is wrong because isopropyl alcohol is also not effective against C. difficile spores.
Alcohol-based hand sanitizers are not sufficient for preventing the spread of C. difficile, and soap and water should be used instead.
Choice D is wrong because triclosan is a type of antibacterial agent that is commonly found in some consumer products, such as soap and toothpaste. However, triclosan has no activity against C. difficile spores.
Triclosan may also contribute to antibiotic resistance and has potential adverse effects on human health and the environment.
Correct Answer is C
Explanation
The correct answer is choice C. Use a filter needle to aspirate the medication.
This is because a filter needle can prevent glass particles from being drawn into the syringe when aspirating medication from an ampule.
Glass particles can cause harm to the patient if injected.
Choice A is wrong because cleansing the tip of the ampule with an alcohol swab after opening is not necessary and may contaminate the medication.
Choice B is wrong because adding 0.5 mL of diluent to the medication may alter the concentration and dosage of the medication.
Choice D is wrong because injecting air into the ampule prior to drawing the medication into a syringe is not required and may create pressure that can cause the ampule to break.
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