Nokea
A child with nephrosis is placed on prednisone. The dose is 2 mg/kg/day to be administered twice a day. The child weighs 25 lb. How many milligrams will the child receive at each dose?
Correct Answer: 22.7
Rationale: Convert weight to kg, then calculate dosage.
You may also like to solve these questions
When caring for a child with moderate burns from the waist down, which of the following should the nurse do when positioning the child?
- A. Place the child in a position of comfort.
- B. Allow the child to lie on the abdomen.
- C. Ensure the application of leg splints.
- D. Have the child flex the hips and knees.
Correct Answer: D
Rationale: Flexing hips and knees prevents contractures and promotes circulation in lower extremity burns. Comfort is secondary, lying on the abdomen may cause pressure, and splints are not routinely needed.
After teaching the parents of a toddler about commonly aspirated foods, which of the following foods, if identified by the parents as easily aspirated, would indicate the need for additional teaching?
- A. Popcorn.
- B. Raw vegetables.
- C. Round candy.
- D. Crackers.
Correct Answer: D
Rationale: Popcorn, raw vegetables, and round candy are commonly aspirated due to their size, shape, or texture, posing a choking risk. Crackers, while a potential choking hazard, are less commonly associated with aspiration compared to the others, indicating the parents may need further clarification on specific risks.
A 12-year-old with rheumatic fever has a history of long-term aspirin use. Which statement by the client indicates that the nurse should notify the health care provider?
- A. I hear ringing in my ears.
- B. Is it alright to put lotion on my itchy skin?
- C. My stomach hurts after I take that medicine.
- D. These pills make me cough.
Correct Answer: A
Rationale: Ringing in the ears (tinnitus) is a sign of aspirin toxicity, requiring immediate notification. Stomach pain is common but less urgent, and other symptoms are unrelated.
To assess a 9-year-old's social development, the nurse asks the parent if the child:
- A. Thinks independently.
- B. Is able to organize and plan.
- C. Has a best friend.
- D. Enjoys active play.
Correct Answer: C
Rationale: Having a best friend indicates healthy social development at 9 years.
Immediately on return to the nursing unit after surgical repair of a cleft palate, in which of the following positions should the nurse place the child?
- A. On the back with the head in a position of comfort.
- B. In low Fowler's position with the head turned to the side.
- C. Lying on the abdomen with the head turned to the side.
- D. In reverse Trendelenburg with the head tilted forward.
Correct Answer: C
Rationale: Lying on the abdomen with the head turned to the side facilitates drainage and reduces the risk of aspiration post-surgery.