A child who weighs 20kg is to receive 8g of gamma globulin over 12 hours for treatment. The concentration is 8 g in 300 mL of normal saline. How many milliliters per hours will the child receive? Round to the nearest whole number.
The Correct Answer is ["25"]
Total volume = 300 mL
Total infusion time = 12 hours
300 mL ÷ 12 hours = 25 mL/hour
Answer: 25 mL/hour
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["25"]
Explanation
Total volume = 300 mL
Total infusion time = 12 hours
300 mL ÷ 12 hours = 25 mL/hour
Answer: 25 mL/hour
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"E"}
Explanation
The nurse should anticipate a provider's prescription for aspirin and high-dose intravenous immunoglobulin (IVIG)
IVIG is the primary treatment for Kawasaki Disease and reduces the risk of coronary artery aneurysms by modulating the inflammatory response.
It should be administered as soon as possible (ideally within the first 10 days of illness).
Aspirin is given at high doses initially to reduce fever and inflammation.
Once the fever resolves, low-dose aspirin is continued for its antiplatelet effects to prevent coronary thrombosis.
Rationale for Incorrect Options:
Magnesium sulfate infusion → Used in torsades de pointes and preeclampsia, not Kawasaki Disease.
Intravenous antibiotics → Not indicated, as KD is not caused by a bacterial infection. This child has been on amoxicillin with no improvement, which suggests a non-infectious cause.
Nebulized racemic epinephrine → Used for croup, which presents with barking cough and stridor, not Kawasaki symptoms.
Iron supplements → The child has mild anemia, but the priority is addressing the underlying inflammation rather than iron replacement at this time.
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