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).

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

Explanation

A. DIC can affect children of all ages, not just school-age children.
B. Risk factors of DIC include cancer and chemotherapy, which can trigger DIC due to the activation of clotting factors.
C. Lyme disease is not typically associated with DIC.
D. The most common cause of DIC in children is sepsis, which leads to widespread clotting and hemorrhage.
E. Treating the underlying cause of DIC, such as sepsis or cancer, is essential to resolving DIC and stopping the clotting cascade.

A. Hypertension B. Hyperkalemia C. Hypoglycemia D. Hyponatremia

Correct Answer is D

Explanation

A. Hypertension is not a common side effect of desmopressin.

B. Hyperkalemia is not typically associated with desmopressin.

C. Hypoglycemia is not a common side effect of desmopressin, as it is not used to manage blood glucose levels.

D. Desmopressin can cause water retention, leading to dilutional hyponatremia, which is a critical side effect to monitor for in clients receiving the medication.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child diagnosed with disseminated intravascular coagulation (DIC). The child's parents ask the nurse what factors can cause or increase the risk of DIC in children. Which of the following statements should be included in the discussion? (Select all that apply).

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

Explanation

The nurse is administering desmopressin (DDAVP) to a pediatric client with diabetes insipidus. The nurse should monitor for which of the following potential side effects of this medication?

Correct Answer is D

Explanation

A nurse is caring for a group of adolescents. Which of the following findings should be reported to the provider immediately?

A nurse is assessing an 8-year-old child who has early indications of shock. After establishing and stabilizing the child's respirations, which of the following actions should the nurse take next?

A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?

A nurse is assessing the pain level of a 3-year old toddler. Which of the following pain assessment scales should the nurse use?

A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

A nurse is caring for a 6-year-old client who has nephrotic syndrome. Which of the following adverse effects of corticosteroids should the nurse recognize as having the potential to impact the child's psychosocial development? (Select All that Apply.).

A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?

A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?