A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale: 55 lb = 25 kg; 50 mg/kg/day = 1250 mg/day; 1250 mg / 4 doses = 312.5 mg/dose; 312.5 mg ÷ 125 mg/5 mL = 12.5 mL/day; 12.5 ÷ 4 = 3.125 mL, rounded to 5 mL.
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A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?
- A. Bowling
- B. Passive range-of-motion exercise
- C. Jogging
- D. Walking
Correct Answer: D
Rationale: Walking is weight-bearing, promoting bone density safely for osteoporosis prevention.
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?
- A. I'll use focused breathing to control my pain.
- B. I'll listen to my favorite music to take my mind off the pain.
- C. I'll learn to notice the sensation of muscle tension.
- D. I'll think about my grandfather's farm to reduce pain.
Correct Answer: D
Rationale: Guided imagery involves visualizing a calming scene (e.g., a farm) to distract from pain.
A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?
- A. The client verbalizes regret about never marrying.
- B. The client has poorly fitting dentures.
- C. The client has no living family.
- D. The client is sedentary throughout most of the day.
Correct Answer: B
Rationale: Poorly fitting dentures impair nutrition, a priority health risk requiring immediate attention.
A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply)
- A. Apply clean gloves.
- B. Prick the side of the client's finger.
- C. Squeeze the client's finger until a blood drop forms.
- D. Cleanse the client's finger with an iodine swab.
- E. Elevate the client's hand above the level of the heart
Correct Answer: A,B
Rationale: A: Gloves ensure safety. B: Side of finger is less painful and effective for blood collection.
A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?
- A. Conduct staff communications away from the client's room.
- B. Turn off alarms on bedside monitoring equipment.
- C. Avoid entering the client's room unless requested during the night.
- D. Turn on the client's TV to distract from hallway noise.
Correct Answer: A
Rationale: Reducing noise by moving staff communication away enhances sleep without compromising safety.
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