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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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. The toddler’s behavior—sitting quietly and turning away from the nurse—suggests anxiety due to separation from the mother. This is typical of toddlers who experience distress when separated from caregivers.

B. Developing autonomy is a developmental task of toddlers, but the behavior described (turning away from the nurse and seeking comfort through thumb-sucking) indicates distress rather than an expression of independence.

C. Regression can occur in toddlers when they experience stress, but the behavior here seems more related to anxiety than a return to earlier developmental behaviors.

D. Resentment toward the mother is unlikely in this situation; the behavior is more indicative of separation anxiety.

A. Decrease fluid intake to avoid volume overload. B. Encourage a high protein diet for wound healing. C. Suggest a lower calorie diet due to decreased activity. D. Increase carbohydrate intake for energy.

Correct Answer is B

Explanation

A. Fluid intake should not be decreased; adequate hydration is important for burn patients.

B. A high-protein diet is necessary for wound healing in burn patients as protein is essential for tissue repair and immune function.

C. A lower-calorie diet is not appropriate for burn patients, who often have increased metabolic needs.

D. While carbohydrates are important for energy, protein is the primary focus for wound healing.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is educating caregivers about dietary management for a child who has burn injuries. Which of the following recommendations should the nurse provide?

Correct Answer is B

Explanation

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?

A nurse in a special education program is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

A nurse is caring for a school-age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect?

A nurse is caring for a 17-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The client's mother insists that the client receive treatment. Which of the following nursing actions is appropriate at this time?

An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections. Which of the following actions by the nurse demonstrates atraumatic care?

Which intervention would the nurse include when providing atraumatic care?

A nurse is caring for three toddlers and one preschooler. Which represents the major stressor of hospitalization for these four patients?

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?