A 3-month-old infant is being treated with Vancomycin for bacterial meningitis. Order: 60mg/kg/day divided every 6 hours. The infant weighs 11 pounds. The nurse first confirms safe dose. The nurse then calculates the dosage. Which one of the following is the correct SINGLE dose order for the nurse to administer?

75 mg

150 mg

60 mg

300 mg

Answer and Explanation

The Correct Answer is A

Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg. Calculate total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divide the total daily dose by the number of doses per day: 300 mg/day ÷ 4 (every 6 hours) = 75 mg per dose

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Doing everything for the child may increase dependency and does not promote the child's development.
B. Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.
C. Using chronological age alone does not consider the child's actual developmental abilities.
D. Speaking only to the mother ignores the child's ability to understand and participate in their own care, regardless of their level of disability.

A. "Your child should not receive any hepatitis vaccine, but all other vaccines are fine" B. "Your child needs all typical immunizations as well as a yearly pneumococcal and influenza vaccine." C. "We will not be able to give all the required immunizations to your child." D. "Your child will can receive all immunizations except for the polio vaccine."

Correct Answer is B

Explanation

A. This statement is incorrect as children with CF can receive hepatitis vaccines.
B. Children with CF need all typical immunizations to protect against preventable diseases, as well as additional vaccines like the yearly pneumococcal and influenza vaccines to prevent respiratory infections.
C. This statement is incorrect and misleading. Children with CF should receive all required immunizations.
D. This statement is incorrect as children with CF can receive the polio vaccine.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child with an intellectual disability due to Down's Syndrome. The nurse understands that it is important to provide developmentally appropriate care. Which of the following will help to meet this need?

Correct Answer is B

Explanation

The nurse is discussing the importance of immunizations with the mother of a child with Cystic Fibrosis (CF) for immunizations. Which statement is the best response?

Correct Answer is B

Explanation

The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?

A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?

A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?

The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?

The nurse is providing anticipatory guidance teaching to the parents of a newborn infant geared toward reducing child abuse. Which of the following would be the priority topic of discussion to meet this goal?