An infant who weighs 22 lb receives a prescription for amoxicillin 20 mg/kg/day PO in divided doses every 8 hours. The bottle is labeled, "Amoxicillin for Oral Suspension, USP 250 mg per 5 mL." How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is necessary, round to the nearest tenth.)

Answer and Explanation

The Correct Answer is ["1.3"]

To calculate the dosage of amoxicillin for the infant, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The infant weighs 22 pounds, which is equivalent to 10 kilograms (22 lb / 2.2 lb/kg). The prescription is for 20 mg/kg/day, so the total daily dosage is 200 mg (10 kg * 20 mg/kg). This total daily dosage is divided into three doses, as it is to be administered every 8 hours, resulting in

66.7 mg per dose (200 mg / 3). The medication is supplied as 250 mg per 5 mL, so to find out how many mL per dose, set up a proportion: 250 mg is to 5 mL as 66.7 mg is to X mL. Solving for X gives us 1.334 mL (66.7 mg * 5 mL / 250 mg), which rounds to 1.3 mL when rounded to the nearest tenth.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

A. Changing the glucose monitoring device is unlikely to address the root cause of the elevated blood sugars.
B. Some asthma medications, such as corticosteroids, can increase blood glucose levels. Evaluating these medications is essential.
C. Incorrect technique in monitoring blood glucose can lead to inaccurate readings.

Having the client demonstrate the technique can identify any errors.

D. Ensuring that a new insulin needle is used for each administration is important to prevent infection and ensure proper dosage.

E. Understanding the client’s daily routine, including diet, exercise, and stress levels, can provide insight into factors affecting blood glucose control.

A. Weigh the client and report any weight gain. B. Assess the client for weakness and fatigue. C. Report any client mention of pain or discomfort. D. Note and report the client's food and liquid intake during meals and snacks.

Correct Answer is ["A","C","D"]

Explanation

A. Weighing the client and reporting weight gain is within the scope of UAP and important for monitoring fluid retention and weight changes in Cushing's syndrome.

B. Assessing for weakness and fatigue requires clinical judgment and should be performed by a nurse.
C. Reporting any client mention of pain or discomfort is appropriate for UAP, as it involves relaying information to the nurse for further assessment.
D. Noting and reporting the client's food and liquid intake is appropriate for UAP and necessary for monitoring nutritional status and intake.
E. Evaluating sleep disturbances involves assessment skills and should be performed by a nurse.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is managing the care of a client with Cushing's syndrome. What intervention(s) should the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

Patient's data Exhibits The nurse obtains verbal handoff from the outpatient clinic nurse, reviews the electronic health record, and completes an initial assessment including vital signs. Which assessment findings require follow up by the nurse? Select all that apply.

Patient Data Exhibits Which assessment findings indicate that the client has stabilized? Select all that apply.

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, which priority action should the nurse implement?

The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. What behavior(s) indicate the client understands how to maintain balance safely? Select all that apply.

A client who underwent an uncomplicated gastric bypass surgery is having difficulty with diet management. Which dietary instruction is most important for the nurse to explain to the client?

After receiving a change of shift report for clients on a medical surgical unit, which activity should the nurse delegate to the practical nurse (PN)?

Exhibits Review H and P, nurse's notes, laboratory results, flow sheet, and orders. Drag from Word Choices to complete the sentence. The client receiving epidural anesthesia would be at risk for developingdue to