Nokea
A 9-year-old child weighing 40 kilograms has an order for piperacillin (Pipracil) via IV infusion. The recommended daily dose for this medication is 240-300 mg/kg/day IV div. q8h. What is the maximum daily dose of piperacillin this client can receive per day? Calculate and fill in the blank.
Correct Answer: 12,000 mg
Rationale: Maximum dose: 300 mg/kg/day × 40 kg = 12,000 mg/day.
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The nurse is assessing a client with suspected diverticulitis. Which of the following findings would the nurse expect?
- A. Pain in the right upper quadrant.
- B. Fever and left lower quadrant pain.
- C. Diarrhea with bright red blood.
- D. Soft, non-tender abdomen.
Correct Answer: B
Rationale: fever and left lower quadrant pain are common in diverticulitis due to inflammation in the sigmoid colon
A client is being evaluated for carpel tunnel syndrome. The nurse is observed tapping over the median nerve in the wrist and asking the client if there is pain or tingling. Which assessment is the nurse performing?
- A. Phalen's maneuver
- B. Tinel's sign
- C. Kernig's sign
- D. Brudzinski's sign
Correct Answer: B
Rationale: Tinel's sign involves tapping over the median nerve to elicit pain or tingling, indicating carpal tunnel syndrome. Phalen's maneuver involves wrist flexion, and the others assess meningitis.
The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?
- A. Avoid swimming or bathing alone.
- B. Take medications only when a seizure occurs.
- C. Drive a car as long as you feel alert.
- D. Consume alcohol in moderation to reduce stress.
Correct Answer: A
Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure
The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?
- A. Low calorie, low carbohydrate
- B. High calorie, low fat
- C. High protein, high fat
- D. Low protein, high carbohydrate
Correct Answer: B
Rationale: A high-calorie, low-fat diet is suitable post-acute pancreatitis to support recovery while minimizing pancreatic stimulation.
The nurse is caring for a client who is postoperative day 2 following a cholecystectomy. The client reports nausea and has not had a bowel movement since surgery. Which of the following actions should the nurse take FIRST?
- A. Administer an antiemetic as ordered.
- B. Encourage ambulation.
- C. Notify the physician.
- D. Assess the client’s abdomen for bowel sounds.
Correct Answer: D
Rationale: assessment of bowel sounds is the first step to determine if there is a postoperative ileus or other complication