A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number

Answer and Explanation

The Correct Answer is ["300"]

To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.

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Correct Answer is C

Explanation

A. Soccer is a contact sport with a high risk of injury, which is not suitable for a child with hemophilia.

B. Gymnastics can also pose risks of falls and injuries that are not advisable for children with bleeding disorders.

C. Swimming is generally considered safe for children with hemophilia as it is a non-contact activity and does not involve high risk of injury.

D. Football is a contact sport and carries a high risk of trauma, making it unsafe for children with hemophilia.

A. "You'll have to ask your doctor." B. "This test will tell if you have severe renal impairment or a disease." C. "We'll find out if any medications, such as steroids, are interfering with your kidney function D. "This test will tell your doctor how your kidneys are functioning."

Correct Answer is D

Explanation

A. Deflecting the question to the doctor does not provide the patient with helpful information and shows a lack of communication.

B. While the test can indicate renal impairment, it is more accurate to say it assesses overall kidney function rather than confirming a specific disease.

C. Although medications can affect kidney function, the serum creatinine level is not specifically for evaluating medication interference.

D. The serum creatinine test is a standard measure of kidney function, indicating how well the kidneys are filtering waste from the blood.

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Naxlex Comprehensive Predictor Exams

The parents of a child with hemophilia ask the nurse about appropriate activities and sports that they should encourage the child to participate in. What activity would be the safest for the nurse to suggest?

Correct Answer is C

Explanation

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?

The nurse is reviewing management of pediculosis capitis with the parents of school age children during a presentation in addition to medicated shampoo or cream rinse, the treatment for head lice may also include which of the following?

The nurse is reviewing appropriate nutritional options for a child who is receiving chemotherapy and has been prescribed a neutropenic diet. The nurse would recommend which of the following options

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?