A nurse is calculating the maximum recommended dose that a school-age client diagnosed with depression can receive for sertraline (Zoloft). The recommended pediatric dose for sertraline (Zoloft) is 5 to 3 mg/kg/day. If the child weighs 31 kg, the maximum recommended dose for this child would be mg. Round the answer to the nearest whole number

Answer and Explanation

The Correct Answer is ["93"]

To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:

Identify the maximum dose per kilogram: 3 mg/kg/day.
Multiply the child's weight by this maximum dose:

Maximum Dose (mg/day) =31 kg×3 mg/kg/day= 93 mg

So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

A. Buying toys for a child may be a kind gesture, but it does not directly contribute to building a therapeutic relationship.

B. Asking questions if families are not participating in care helps engage them and supports their involvement in the child’s care.

C. Clarifying information for families ensures that they understand their child's condition and care plan, fostering trust and communication.

D. Spending off-duty time with families may blur professional boundaries and is not recommended for maintaining a therapeutic relationship.

E. Learning about the family’s religious preferences helps the nurse provide culturally sensitive care and supports the family’s needs.

A. "Clinicians should participate in the discussion with the family about the child's prognosis." B. "Palliative care should be offered once a child has less than 6 months to live." C. "Parents who express hope of their child surviving are less accepting of palliative care." D. "Palliative care should be given separately from curative care."

Correct Answer is A

Explanation

A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.

B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.

C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.

D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is teaching a newly hired nurse about the management of care for the terminal illness of a child. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

A school nurse is taking care of an adolescent who presents with multiple burns in various stages of healing. which of the following behaviors should the nurse identify as a suggestive of possible physical abuse?

A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse that he cannot cope anymore and had decided to move out of the house. Which of the following statements should the nurse make?