A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which of the following medications would the nurse anticipate the physician might prescribe?

Tetracyline

Penicillin

Metronidazole

Lindane

Answer and Explanation

The Correct Answer is B

A. Tetracycline:

Tetracycline antibiotics, such as doxycycline or minocycline, can be effective against the bacteria that cause impetigo. However, their use in children, especially younger ones, might be limited due to concerns about potential effects on developing teeth and bones. Therefore, they are not the first-line choice for pediatric impetigo.

B. Penicillin:

Penicillin or other antibiotics in the penicillin family, such as dicloxacillin or amoxicillin, are commonly used to treat impetigo caused by Streptococcus pyogenes. Penicillin-based antibiotics are effective against certain strains of the bacteria responsible for impetigo. They are often a preferred choice for pediatric impetigo.

C. Metronidazole:

Metronidazole is an antibiotic with activity against anaerobic bacteria and certain parasites. However, it is not typically used to treat impetigo caused by Staphylococcus aureus or Streptococcus pyogenes.

D. Lindane:

Lindane is an anti-parasitic medication used for conditions like scabies or lice. It is not effective against the bacteria that cause impetigo. Lindane is not an appropriate treatment for impetigo, and its use is limited due to potential neurotoxicity.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Temperament:

Temperament refers to a child's innate traits and behavioral style. While temperament influences how a child responds to social situations, during the school-aged years, the focus often shifts towards developing social skills through interactions with peers.

B. School:

School is a crucial aspect of a child's life, providing opportunities for social interaction, learning, and development. However, within the context of social interaction, the emphasis on school might encompass friendships, group activities, and the overall social environment that the child experiences within the school setting.

C. Peer relationships:

During the school-aged years, peer relationships become particularly important for social development. Children start to form friendships, learn to navigate social situations, and develop a sense of belonging. Peer interactions contribute significantly to emotional and social growth during this stage.

D. Family:

Family plays a fundamental role in a child's development, including social development. However, during the school-aged years, children often begin to explore relationships outside the family circle, and peer relationships become increasingly influential.

Correct Answer is ["612.375"]

Explanation

To calculate the ordered dose of Ceftriaxone in mg/kg/day, we can follow these steps:

Convert the weight to kg:

Weight in kg= Weight in lbs /2.2046

Weight in kg= 18lbs/2.2046≈8.165 kg

Calculate the daily dosage range:

Using the recommended dosage range of 50-75 mg/kg/day:

Minimum daily dosage= 50mg/kg/day × Weight in kg

Maximum daily dosage =75mg/kg/day×Weight in kg

Calculate the ordered dose:

Ordered dose=Dosage per administration × Frequency per day

Ordered dose= 300mg×2times per day= 600mg/day

Now, let's calculate the daily dosage range:

Minimum daily dosage=50mg/kg/day×8.165kg=408.25mg/day

Maximum daily dosage=75mg/kg/day×8.165kg=612.375mg/day

The ordered dose of 600 mg/day falls within the calculated range of 408.25-612.375 mg/day, so the ordered dose is within the recommended dosage range for a serious infection.

Therefore, the ordered dose of Ceftriaxone 300 mg IV Q12H for a 6-month-old infant weighing 18 lbs is considered safe based on the calculated dosage range.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which of the following medications would the nurse anticipate the physician might prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When providing anticipatory guidance to a group of parents with school-aged children, what would the nurse describe as the most important aspect of social interaction?

Correct Answer is C

Explanation

Order: Ceftriaxone 300 mg IV Q12H for a 6 month old infant with a serious infection who weighs 18 lbs. The recommended dosage is 50-75 mg/kg/day in divided doses BID. Prove mathematically (mg/kg/day) the ordered dose and is it safe to give Safe/Unsafe)?

Correct Answer is ["612.375"]

Explanation

A nurse is preparing to administer scheduled immunizations to a 5-year-old child. Which of the following vaccines should the nurse plan to administer (Select all that apply)?

The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?

The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructors determines the class is successful after the students correctly choose which milestone as the beginning of adolescence?

The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis capitis. Which should the nurse include in the teaching session (Select all that apply)?

Nursing care of the child who is postoperative from a tonsillectomy should include: (Select All That Apply)?

A breast-feeding mother asks the nurse about when she can begin feeding her 5-month-old infant some solids and vitamins. Which information provided by the nurse would most accurately address this mother’s concerns?

The nurse is performing a physical assessment on a 6-month-old baby. Which finding should the nurse understand as abnormal for this child?