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How often should a child who has a continuous intravenous infusion should be assessed?
- A. Hourly
- B. Every 2 hours
- C. Every 3 hours
- D. Every 4 hours
Correct Answer: A
Rationale: Hourly assessments are necessary to monitor for complications like inflammation or infiltration.
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After instilling nose drops, the nurse will keep the infant in the head down position for at least __ seconds.
Correct Answer: 30
Rationale: Retaining the head-down position for 30 seconds allows nose drops to penetrate deeply into the nostril.
The order reads, 'Give ampicillin oral suspension 400 mg PO every day.' The vial reads, 'Ampicillin 125 mg/5 mL.' The nurse will give a dose of __ mL.
Correct Answer: 16
Rationale: Calculating 400 mg from 125 mg/5 mL yields 16 mL as the correct daily dose.
What initial position will the nurse maintain for this patient?
- A. Left side-lying
- B. Supine
- C. Prone
- D. Semi-Fowler's
Correct Answer: B
Rationale: Lying supine post-lumbar puncture helps prevent headaches by maintaining spinal fluid pressure.
What intervention should the nurse implement after topical administration of hydrocortisone cream to the buttocks and abdomen of an infant?
- A. Diaper the infant snugly with a disposable diaper.
- B. Cover the area with a transparent dressing.
- C. Apply a cloth diaper.
- D. Place the infant on a plastic pad, undiapered.
Correct Answer: C
Rationale: Using a cloth diaper or leaving the infant undiapered on a cloth pad prevents increased drug absorption from plastic coverings.
What should be the next action by the nurse?
- A. Give the medication after confirming the child's name from the foot of the crib.
- B. Ask the charge nurse to give the medicine.
- C. Confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
- D. Delay the medication until the admissions office can supply a new ID bracelet.
Correct Answer: C
Rationale: Confirming identity with the charge nurse and making a new bracelet ensures safe medication administration.