A 3-month-old is being treated for gastroesophageal reflux. The health care provider orders 2mg/kg of ranitidine to be administered every 12 hours. The client weighs 10 pounds. The elixir comes in a strength of 15mg/mL. How many mL of ranitidine should the nurse administer to this client per dose? (round to the nearest tenth)
The Correct Answer is ["0.6"]
The infant weighs 10 pounds, which is equivalent to about 4.53692 kilograms (10 x 0.453592). The prescribed dose is 2 mg/kg, so the total dose per administration is 9.07384 mg (2 mg/kg x 4.53692 kg).
Since the elixir's strength is 15 mg/mL, we divide the total dose by the strength of the elixir to find out how many mL to administer: 9.07384 mg ÷ 15 mg/mL = 0.60492267 mL. Rounding to the nearest tenth, the nurse should administer 0.6 mL of ranitidine per dose to the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Total bilirubin levels are primarily associated with liver function and hemolysis. While malnutrition can impact liver function, total bilirubin is not a direct indicator of nutritional status or malnutrition.
B. Creatine kinase (CK) is an enzyme found in the heart, brain, and skeletal muscles. Its levels are typically associated with muscle damage or myocardial infarction. While malnutrition can impact muscle mass, CK is not specifically altered due to malnutrition alone.
C. Troponin is a protein released when the heart muscle is damaged. It is primarily used as a biomarker for myocardial injury. Malnutrition does not directly affect troponin levels, so this is not a relevant finding in the context of malnutrition.
D. Albumin is a protein produced by the liver and is a key indicator of nutritional status. Low albumin levels can indicate malnutrition, particularly protein deficiency. In cases of anorexia and malnutrition, albumin levels are often decreased due to inadequate protein intake and poor nutritional status.
Correct Answer is ["A","B","C"]
Explanation
A.Gloves should be worn to protect the healthcare provider from potential exposure to C. diff spores, which can be present in the client’s stool. It also prevents the spread of infection to other patients and surfaces.
B.C. diff is highly contagious, and the spores can persist on surfaces. Restricting family members from using the client's restroom helps reduce the risk of spreading the infection to others, especially in shared facilities.
C.Placing the client in a private room helps prevent the spread of C. diff to other patients, particularly in healthcare settings. This isolation is critical for controlling outbreaks of this infection.
D. This is not recommended for C. diff. While alcohol-based hand sanitizers are effective against many pathogens, they do not effectively kill C. diff spores. Handwashing with soap and water is the preferred method after caring for a C. diff patient to ensure thorough removal of spores.
E. C. diff is primarily transmitted via the fecal-oral route, and droplet precautions are not required. Masks are typically used for respiratory infections, not for gastrointestinal infections like C. diff.
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