A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

I can give this medication every 2 hrs for fever

I can give up to 4000 mg each day by mouth if my child is irritable

I can give this medication rectally if my child has a fever and is having vomiting

I will notify the provider notice that the whites of my child's eyes are yellow

Answer and Explanation

The Correct Answer is B

A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.

B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.

D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.

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Correct Answer is ["10"]

Explanation

To calculate the dosage of ondansetron for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 44 lbs, which is equivalent to 20 kg (44 lbs / 2.2 lbs per kg). The prescribed dose is 0.5 mg/kg, so you would multiply the child's weight in kilograms by the dose: 20 kg * 0.5 mg/kg = 10 mg. Since the safe dose is up to 5 mg/kg per dose and the child's weight is 20 kg, the maximum safe dose would be 100 mg (20 kg * 5 mg/kg). Therefore, the nurse should administer 10 mg, as it is within the safe dose range.

A. Abdominal surgery B. Enema with air infusion C. Ano-rectal pull-through procedure D. Colostomy

Correct Answer is B

Explanation

A. While abdominal surgery may be needed in some cases of intussusception, non-surgical interventions are often attempted first.

B. An enema with air infusion (often a contrast enema) can be used to treat intussusception by helping to unfold the intestine, making it a commonly discussed procedure.

C. An ano-rectal pull-through procedure is not related to intussusception and is usually indicated for conditions like Hirschsprung's disease.

D. A colostomy may be necessary in cases of bowel necrosis or perforation but is not the first-line treatment for intussusception.

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A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["10"]

Explanation

The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure

Correct Answer is B

Explanation

The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?

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