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    Hesi RN Exit proctored examQuestion 116
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    Hesi RN Exit proctored exam
    Calculation

    An infant who weighs 22 lbs. 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.)

    mL

    Explanation & Rationale

    Convert the infant's weight from pounds (lb) to kilograms (kg). Given weight = 22 lb Conversion factor = 1 kg = 2.2 lb Weight (kg) = (Weight in lb / 2.2 lb/kg) = (22 / 2.2) = 10 kg. Calculate the total daily dose in milligrams (mg/day). Prescribed dose = 20 mg/kg/day Total Daily Dose (mg/day) = Weight (kg) x Dose (mg/kg/day) = 10 kg x 20 mg/kg/day = 200 mg/day. Calculate the single dose in milligrams (mg/dose). Frequency = every 8 hours (3 doses per day) Single Dose (mg/dose) = (Total Daily Dose / Number of doses per day) = (200 mg / 3) = 66.67 mg. Calculate the volume in milliliters (mL) to administer per dose. Available concentration = 250 mg per 5 mL Volume (mL/dose) = (Single Dose (mg) / Available concentration (mg)) x Available volume (mL) = (66.67 mg / 250 mg) x 5 mL = 1.333... mL. Round the answer to the nearest tenth. = 1.3 mL.

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