A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?

Droplet

Airborne

Contact

Protective environment

Answer and Explanation

The Correct Answer is A

A. Erythema infectiosum (also known as Fifth Disease) is transmitted via respiratory droplets, so droplet precautions are appropriate.

B. Airborne precautions are not required for erythema infectiosum as it is not spread via airborne transmission.

C. Contact precautions are typically used for infections that spread via direct contact, not for erythema infectiosum.

D. Protective environment precautions are typically used for immunocompromised patients, which is not necessary for erythema infectiosum.

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Correct Answer is C

Explanation

A. Dextrose 5% in water (D5W) should not be used with packed RBCs because it can cause hemolysis (destruction of red blood cells).

B. Filtered IV tubing is preferred for blood transfusions to catch any blood clots and debris, and non-filtered tubing increases the risk of complications.

C. The standard guideline for transfusing red blood cells (RBCs) is to infuse each unit within 4 hours to minimize the risk of bacterial growth in the blood. Blood should not be left at room temperature for prolonged periods.

D. The second unit of blood should not be stored at room temperature for more than 30 minutes, as it may cause bacterial growth.

Correct Answer is ["12.5"]

Explanation

1. Convert pounds to kilograms:

55 lbs / 2.2 lbs/kg = 25 kg

2. Calculate the desired dose:

Dose (mg) = Dose per kg (mg/kg) x Weight (kg)

Dose (mg) = 10 mg/kg x 25 kg = 250 mg

3. Calculate the volume to administer:

Volume (mL) = Desired dose (mg) / Concentration (mg/mL)

Volume (mL) = 250 mg / (100 mg/5 mL)

Volume (mL) = 250 mg / 20 mg/mL

Volume (mL) = 12.5 mL

Therefore, the nurse should administer 12.5 mL of ibuprofen.

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A nurse is admitting a child who has erythema infectiosum. Which of the following transmission-based precautions should the nurse initiate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["12.5"]

Explanation

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