Nokea
A nurse is preparing to administer amoxicillin 350 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many ml. should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 7 mL
- B. 6 mL
- C. 8 mL
- D. 5 mL
Correct Answer: 7
Rationale: Formula: Volume to administer=Desired dose/Available dose ×Volume available. Calculation: 350 mg/250 mg × 5 mL=7 mL.
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A nurse is planning care for a 4-year-old child who has been admitted to the hospital. Which of the following toys should the nurse plan to provide the child?
- A. Modeling clay
- B. Brightly-colored mobile
- C. 100-piece jigsaw puzzle
- D. Checkerboard and checkers
Correct Answer: A
Rationale: Modeling clay is appropriate for a 4-year-old helping with fine motor skills and creativity.
A nurse is reinforcing teaching with an assistive personnel (AP) about counting the respiratory rate for a 1-month-old infant. Which of the following statements by the AP indicates an understanding of the teaching?
- A. I will immediately report irregular respirations.
- B. I will immediately report a respiratory rate of 28.
- C. I will count the baby's respirations for 30 seconds and multiply by two.
- D. I will count the baby's respirations by observing abdominal movements.
Correct Answer: D
Rationale: In infants respiration is primarily diaphragmatic making abdominal movements a reliable indicator of respiratory rate.
Medical History
Nurses notes:
Vital Signs:
Laboratory results:
0900:
Temperature 36.8° C (98.2° F)
Heart rate 80/min
Respiratory rate 22/min
Blood pressure 102/78 mm Hg
SaO2 is 94% on room air
Upon review of the child's electronic medical record (EMR), the nurse should determine the child is at risk for developing which of the following conditions? Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing Increased seizure activity pneumonia liver failure Steven-johnson syndrome pneumothorax due to phenytoin level cough skin rash liver enzymes lung sounds.
- A. Increased seizure activity
- B. pneumonia
- C. liver failure
- D. Steven-johnson syndrome
- E. pneumothorax
Correct Answer: A
Rationale: The child's phenytoin level is 6 mcg/mL which is below the therapeutic range of 10-20 mcg/Ml, increasing the risk of more seizures.
A nurse is reviewing the medical record of a toddler who has moderate dehydration. Which of the following findings should the nurse expect?
- A. Decreased hematocrit
- B. Increased respiratory rate
- C. Decreased heart rate
- D. Increased platelet count
Correct Answer: B
Rationale: Dehydration can lead to tachypnea (increased respiratory rate) as the body attempts to compensate for the decreased blood volume.
A nurse is reinforcing teaching about methylphenidate (Ritalin) with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?
- A. You should give your child's last daily dose of the medication before 6 o'clock in the evening.
- B. You will need to give your child the medication after meals.
- C. You will need to have your child's blood glucose level checked monthly.
- D. You should not give your child the medication on weekends.
Correct Answer: A
Rationale: Methylphenidate is a stimulant and giving it too late in the day can cause insomnia.