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A 2-year-old is being treated for a pneumonia. The health care provider orders 15mg/kg of amoxicillin/clavulanic acid to be administered every 12 hours. The child weighs 25 pounds. The elixir comes in a strength of 250 mg/5 mL. How many mL of amoxicillin/clavulanic acid should the nurse administer to this child per dose? mL (Round to the nearest tenth)

Answer and Explanation

The Correct Answer is ["3.4"]

1 pound is approximately 0.453592 kilograms.

25 pounds * 0.453592 kg/pound = 11.3398 kg Calculate the total daily dosage:

15 mg/kg/12 hours * 11.3398 kg = 170.097 mg/12 hours

170.097 mg/12 hours * 2 doses/day = 340.194 mg/day Determine the amount of elixir needed per dose:

250 mg/5 mL = 50 mg/mL (strength of the elixir)

340.194 mg/day ÷ 2 doses/day = 170.097 mg/dose

170.097 mg/dose ÷ 50 mg/mL = 3.4 mL/dose

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Correct Answer is ["400"]

Explanation

Total volume = 100 mL

Time = 15 minutes = 0.25 hours (15 minutes / 60 minutes/hour)

Infusion rate = Total volume / Time Infusion rate = 100 mL / 0.25 hours Infusion rate = 400 mL/hour

Therefore, the nurse should set the IV infusion pump to 400 mL/hour.

A. Fatigue B. Night sweats C. Neuropathy D. Weight loss E. Non-productive cough F. Low grade fever

Correct Answer is ["A","B","D","E","F"]

Explanation

A. Fatigue is a common symptom of TB, especially in the early stages. The body's energy is used up fighting the infection, leading to feelings of tiredness.
B. Night sweats are another common symptom of TB. The body's immune system works harder at night, leading to excessive sweating.
C. While neuropathy can be a potential complication of TB, it's not a typical clinical manifestation in the early stages. Neuropathy is more likely to occur in advanced cases or if the TB infection has spread to other parts of the body.
D. TB can cause weight loss due to decreased appetite, increased metabolic rate, and the body's use of energy to fight the infection.
E. A cough is a common symptom of TB. In the early stages, the cough may be dry or non-productive, meaning there's no phlegm or mucus.
F. A low-grade fever is another common symptom of TB. The body's temperature rises slightly as it fights the infection.

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Naxlex Comprehensive Predictor Exams

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.

Correct Answer is ["400"]

Explanation

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

Correct Answer is ["A","B","D","E","F"]

Explanation

What should the nurse include when teaching school-age children about nasopharyngitis?

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

A nurse is providing teaching to the parents of a child who has streptococcal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching?

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?