Question

A nurse is preparing to administer 7.5 mL of ampicillin 250 mg oral suspension to a toddler who has otitis media. The nurse should recognize that 7.5 mL is equivalent to how many tsp? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

1.5

Rationale :

Working : Ampicillin 7.5 mL oral suspension. Convert to teaspoons. Conversion factor: 1tsp= 5mL Formula: 7.5mL÷5mL = 1.5tsp Answer: 1.5 tsp

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Answer 2

Correct Answers:

3.8

Rationale :

Working: Acetaminophen 10 mg/kg PO. Weight: 26.4 lb (12 kg). Available: 160 mg/5 mL. Dose: 10×12=120mg Volume: 120÷160×5=3.75mL Answer: 3.8 mL

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Answer 3

Correct Answers:

0.24

Rationale :

Working: Clindamycin phosphate IM 15 mg/kg/day in 4 doses. Weight: 21 lb (9.55 kg). Available: 50 mg/mL. Total daily dose: 15×9.55=143.25mg Single dose: 143.25÷4=35.81mg Volume: 35.81÷50=0.24mL Answer: 0.24 mL

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Answer 4

Correct Answers:

3.5

Rationale :

Working: Digoxin 7.5 mcg/kg/day. Weight: 52 lb (23.64 kg). Available: 50 mcg/mL. Dose: 7.5×23.64=177.3mcg Volume: 177.3÷50=3.546mL Answer: 3.5 mL

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Answer 5

Correct Answers:

4.2

Rationale :

Working: Cephalexin 50 mg/kg/day in 4 doses. Weight: 37 lb (16.82 kg). Available: 250 mg/5 mL. Total daily dose: 50×16.82=841mg Single dose: 841÷4=210.25mg Volume: 210.25÷250×5=4.21mL Answer: 4.2 mL

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Answer 6

Correct Answers:

125

Rationale :

Working: 0.45% sodium chloride 1,000 mL over 8 hours. Formula: Volume÷Time(hours) Calculation: 1,000÷8=125mL/hr Answer: 125 mL/hr

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Answer 7

Correct Answers:

0.73

Rationale :

Working: Ondansetron 0.1 mg/kg. Weight: 32 lb (14.55 kg). Available: 2 mg/mL. Dose: 0.1×14.55=1.455mg Volume :1.455÷2=0.7275mL Answer: 0.73 mL

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Answer 8

Correct Answers:

2.5

Rationale :

Working: Fluoxetine oral solution 20 mg. Convert 1/2 tsp to mL. Conversion factor: 1tsp=5mL Calculation: 0.5×5=2.5mL Answer: 2.5 mL

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Answer 9

Correct Answers:

Montelukast 4 mg PO daily

Rationale :

The prescription for montelukast 4 mg PO daily requires clarification. The appropriate dose for a 30 kg (66.1 lb) child is 5 mg daily. All other prescriptions—budesonide 0.25 mg inhalation, amoxicillin 250 mg PO q8h, and albuterol 2.5 mg inhalation q8h—are appropriate.

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Answer 10

Correct Answers:

1.5

Rationale :

Working: Iron dextran 75 mg IM. Available: 50 mg/mL 75mg÷50mg/mL Answer :1.5mL

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RN Pediatric Nursing Assessment 3.2

No.

1 : A nurse is preparing to administer 7.5 mL of ampicillin 250 mg oral suspension to a toddler who has otitis media. The nurse should recognize that 7.5 mL is equivalent to how many tsp? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

6 : A nurse is preparing to administer 0.45% sodium chloride 1,000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

7 : A nurse is preparing to administer Ondansetron 0.1 mg/kg IV bolus to a toddler who weighs 32 lb. Available is Ondansetron injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

9 : A nurse is reviewing the medication administration record for a toddler who weighs 30 kg (66.1 lb). The nurse should identify that which of the following prescriptions requires further clarification?

10 : A nurse is preparing to administer iron dextran 75 mg IM to an adolescent. The amount available is iron Dextran 50 mg/mL How many mL should the nurse administer? [Round the answer to the nearest tenth. Use a leading zero if it applies. Do not us a trailing zero.)

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