Nokea
A nurse is caring for a child on the pediatric unit. A drug is ordered for the child, but there is no pediatric dose listed for the drug. To make sure that the right dose has been ordered, what will the nurse use to calculate the correct dose?
- A. Surface area
- B. Height
- C. Birth date
- D. Age at gestation
Correct Answer: A
Rationale: Surface area, calculated via nomograms using height and weight, is the most accurate method for pediatric dosing adjustments.
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Twenty-year-old Annie comes to the clinic complaining of copious yellow-green eye discharge. Gram stain indicates she most likely has gonococcal conjunctivitis. While awaiting the culture results, the plan of care should be:
- A. None, wait for the culture results to determine the course of treatment
- B. Ciprofloxacin (Ciloxan) ophthalmic drops
- C. IM ceftriaxone
- D. High-dose oral amoxicillin
Correct Answer: C
Rationale: Gonococcal conjunctivitis requires urgent IM ceftriaxone; waiting risks progression.
Immune globulin serums:
- A. Provide active immunity against infectious diseases
- B. Are contraindicated during pregnancy
- C. Are heated to above body temperature to kill most hepatitis, HIV, and other viruses such as parvovirus
- D. Are derived from pooled plasma of adults and contain specific antibodies in proportion to the donor population
Correct Answer: D
Rationale: Immune globulins are passive immunity from pooled plasma; they're not active , not contraindicated in pregnancy , and not heated .
A nurse is preparing to administer a prescribed drug by the oral route. Which of the following would be most important for the nurse to do? Select one that does not apply.
- A. Making sure the client is in an upright position prior to administration
- B. Ensuring that a full glass of water is readily available
- C. Encourage patient to take a few sips of water before placing the medicine in the mouth
- D. Instructing the client to tilt his or her head back to swallow a capsule
Correct Answer: D
Rationale: Clients should always be in an upright position when receiving oral drugs and a glass of water should be readily available. They should be encouraged to take a few sips of water before placing the tablet or capsule in the mouth. Drugs should never be left at the client's bedside. Instruct clients to tilt their head back to swallow a tablet and slightly forward to swallow a capsule.
Which of the following is a side effect of propylthiouracil?
- A. Agranulocytosis
- B. Arrhythmias
- C. Diabetes
- D. Hypertension
Correct Answer: A
Rationale: Propylthiouracil can cause agranulocytosis, a severe reduction in white blood cells, as a serious side effect.
Which of the following beta-blockers has intrinsic sympathomimetic activity (ISA)?
- A. Bisoprolol
- B. Timolol
- C. Pindolol
- D. Propanolol
Correct Answer: C
Rationale: Pindolol has ISA, partially stimulating beta receptors while blocking them, reducing bradycardia risk.