A child is prescribed Phenobarbital 18 mg twice a day PO. The child weighs 6 kg. The pediatric dosage range is 5-7 mg/kg/day.

What is the safe maximum dosage per day for this child?

A nurse is assessing a client with cirrhosis who has become increasingly confused and irritable.

The nurse notes tremors in the client's hands when arms are extended.

The provider suspects hepatic encephalopathy.

Highlight the portions of the passage that reflect signs, causes, and treatments of hepatic encephalopathy.

Some sentences or phrases may be unrelated or incorrect.

The client with cirrhosis appears disoriented and has difficulty answering simple asks.

The nurse observes asterixis when the client extends their arms.

Laboratory results show elevated mental status.

The provider prescribes lactulose to lower ammonia levels.

The client is placed on a high protein diet to support liver regeneration.

The nurse encourages the client to ambulate in the hallway to reduce the risk of acquiring pneumonia.

A CT scan of the brain is ordered to rule out a stroke.

The nurse monitors the client closely for worsening neurologic functions.

A newborn is delivered by vaginal birth at 40 weeks of gestation.
Which of the following findings should the nurse report to the provider?

The nurse is teaching a community group about nerve agents.
The nurse evaluates that the teaching has been effective when the participants state:

A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents.

The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured.

Which of the following statements made by the nurse is most appropriate?

Which of the following maneuvers is most commonly used first to relieve shoulder dystocia during childbirth?

A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration.

Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening.

The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord.

The nurse positions the client in a knee to chest position to relieve pressure on the cord.

Fetal heart tones are monitored continuously.

The provider is notified while preparations for an emergency cesarean birth are initiated.

The nurse documents the time of cord prolapse, interventions, and the client response.

Select the portions of the text that indicate priority nursing actions in response to a prolapsed umbilical cord.

A nurse is caring for a client who has named someone to serve as their health care proxy. The client states they need clarification about this part of the advance directive.
Which of the following statements by the client indicates that need for clarification?

A child is ordered Digoxin 25 mcg IV twice a day.

The child weighs 13.2 lbs.

The pediatric dose is 25-50 mcg/kg/day.

Available is 0.1 mg/mL ampule.

What would be drawn up for a single dose?

During shift report the nurse is told that there is 450 mL left in a client's IV and it has to run for 2 more hours.

If the drip factor is 15 gtt/mL what is the current IV rate?

A nurse is caring for a patient who has chronic obstructive pulmonary disease (COPD) and is 2 days postoperative after a laparoscopic cholecystectomy.
Which intervention for airway management should the nurse delegate to the UAP?