Nokea
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.
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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.
Which restraint is most appropriate for the insertion of an intravenous line in a scalp vein of an infant?
- A. Mummy
- B. Clove hitch
- C. Jacket
- D. Elbow
Correct Answer: A
Rationale: A mummy restraint immobilizes the infant safely for scalp vein IV insertion.
Informed consent for a minor guarantees that the parent or legal guardian understands what aspect(s) of a procedure?
- A. Purpose of the procedure
- B. Risks associated with the procedure
- C. That no suit can be brought for damages
- D. That the document must be signed and witnessed
- E. That information was given
Correct Answer: A,B,D,E
Rationale: Informed consent ensures understanding of the procedure's purpose, risks, information provided, and the need for a signed, witnessed document.
What would be the best example provided by the nurse?
- A. Red meat
- B. Green, leafy vegetables
- C. Acidic fruit juices
- D. Egg yolks
Correct Answer: D
Rationale: Egg yolks reduce iron absorption in the digestive tract and should be limited when taking iron supplements.
What is the nurse's most effective response?
- A. No. It is over before you know it.'
- B. Yes. It will sting a little.'
- C. No. Would you like to see the syringe?'
- D. Yes. Your mom and I are going to hold you to help you be still.'
Correct Answer: B
Rationale: A truthful response about a slight sting builds trust and prepares the child for the IM injection.