A primary healthcare provider has prescribed ertapenem to a 6-year-old child with a urinary tract infection (UTI).
What is the safe dose of medication for this child?
500 mg/kg three times daily
5 g/kg once daily
1 g/kg every 8 hours
15 mg/kg twice daily
The Correct Answer is D
The safe dose of ertapenem for children is **15 mg/kg** twice daily, with a maximum dose of **500 mg** per dose. Therefore, the correct answer is **d) 15 mg/kg twice daily**. Ertapenem is a carbapenem antibiotic that is used to treat various infections caused by susceptible bacteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is another dosage calculation problem. To solve it, we need to use the formula:
Caloric need ÷ Calories per mL 1000 = Formula per day
In this case, the caloric need is 2250 calories, and the calories per mL is 2000/1000 = 2. Plugging these values into the formula, we get:
2250 ÷ 2 × 1000 = 1125
Therefore, the client would need **1125 mL** of formula per day to meet the calorie requirements.
Correct Answer is D
Explanation
The correct technique for preparing this insulin order is to follow these steps¹²:
- Perform hand hygiene and put on gloves.
- Mix NPH (cloudy) insulin by gently rotating the vial between the palms of your hands. Do not shake the vial.
- Clean the tops of both vials with alcohol swabs and let them dry.
- Draw up the amount of air equal to the dose of NPH insulin into a syringe. Inject the air into the NPH vial without touching the needle to the solution. Withdraw the needle and syringe without drawing up any insulin. This will create positive pressure in the NPH vial and make it easier to draw up later.
- Draw up the amount of air equal to the dose of regular (clear) insulin into the same syringe. Inject the air into the regular vial and invert the vial. Make sure the needle tip is below the fluid level and draw up slightly more than the dose of regular insulin. Tap the syringe gently to remove any air bubbles and push out any excess insulin to get the exact dose. Withdraw the needle and syringe from the regular vial.
- Reinsert the needle and syringe into the NPH vial without touching the needle to the solution. Invert the vial and draw up slightly more than the dose of NPH insulin. Tap the syringe gently to remove any air bubbles and push out any excess insulin to get the exact dose. Withdraw the needle and syringe from the NPH vial.
- Check that you have the correct doses of both insulins in one syringe. The total volume should be equal to the sum of both doses.
- Administer the dose within 5 to 10 minutes after drawing up because regular insulin binds to NPH and this decreases its action.
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