The healthcare provider prescribed amoxicillin 20 mg/kg by mouth (PO) every 8 hours for a toddler with otitis media who weighs 33 pounds (15 kg). The medication is labeled, "125 mg/5mL." How many mL should the nurse administer?
(Enter the numerical value only. If rounding required, round to the nearest whole number.)
The Correct Answer is ["12"]
To calculate the amount of amoxicillin in mL to administer to a toddler weighing 15 kg, you can use the following calculation:
Dose (in mg) = Weight (in kg) x Dose (in mg/kg)
Dose (in mg) = 15 kg x 20 mg/kg = 300 mg
Now, you want to convert the dose to mL using the provided concentration:
Concentration = 125 mg/5 mL
Now, calculate the mL needed:
Volume (in mL) = Dose (in mg) / Concentration (in mg/mL)
Volume (in mL) = 300 mg / 125 mg/5 mL = 12 mL
So, the nurse should administer 12 mL of amoxicillin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Reactions to any previous hospitalizations can provide some insight into the child's previous healthcare experiences, but it may not be as directly relevant to planning care for an umbilical hernia repair.
B. A history of rubella, rubeola, or chicken pox is important for the child's medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.
C. The mother's use of alcohol, drugs, or cigarettes during pregnancy is particularly relevant when planning care for a child undergoing surgery, as it can affect the child's overall health and potential complications during and after the procedure. Exposure to these substances during pregnancy can lead to various health issues that need to be considered in the child's care plan.
D. A list of achievement timeline for developmental milestones is important for understanding the child's developmental progress, but it may not be the primary consideration when planning care for an umbilical hernia repair.
Correct Answer is B
Explanation
A. Cleansing pin sites as prescribed is important for infection prevention, but it is not the most critical intervention in the context of assessing vascular and neurologic status.
B. Monitor peripheral pulses and sensation in the right leg.
Balanced suspension skeletal traction is used to stabilize fractures or treat certain orthopedic conditions. Monitoring peripheral pulses and sensation in the right leg is a critical aspect of caring for a child in this type of traction. It is essential to ensure that the child's circulation and nerve function are not compromised. Changes in peripheral pulses and sensation can indicate potential complications, such as compromised blood flow or nerve compression, which need immediate attention to prevent further damage.
C. Assessing skin for redness and signs of tissue breakdown is important for skin care and preventing pressure ulcers, but it is secondary to monitoring peripheral pulses and sensation when the child is in traction.
D. Changing position every 2 hours is a standard nursing practice to prevent pressure ulcers and provide comfort, but it does not take precedence over monitoring circulation and sensation in the affected limb.
Peripheral pulses and sensation must be closely monitored and documented at regular intervals to ensure the child's safety and the effectiveness of the traction. Any changes in these parameters should be promptly reported to the healthcare provider.
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