A nurse is caring for a school-age child who has a prescription for amoxicillin 320 mg PO every 8 hr for 10 days. Available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["4"]

To calculate the dose of amoxicillin for a child, the nurse needs to use the following formula:

Dose (mL) = prescribed dose (mg) / concentration (mg/mL)

In this case, the prescribed dose is 320 mg and the concentration is 400 mg/5 mL. Plugging these values into the formula, we get:

Dose (mL) = 320 mg / (400 mg/5 mL)

Dose (mL) = 320 mg x (5 mL/400 mg)

Dose (mL) = 4 mL

Therefore, the nurse should administer 4 mL of amoxicillin suspension per dose.

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Correct Answer is C

Explanation

A. "What is your pain level right now?": This response doesn't directly address the child's question about mortality and may deflect the conversation away from the child's concerns. While assessing pain is important, it should not be the immediate response to a question about mortality.

B. "Your doctor will be able to answer your questions tomorrow.": This response delays addressing the child's concerns and may leave the child feeling anxious or unsupported in the meantime. It's important for the nurse to provide immediate support and reassurance when a child expresses fears or worries.

C. "It sounds like you are worried. Tell me what you have been told.": This response acknowledges the child's emotions and invites them to share their thoughts and concerns. It opens up a dialogue between the nurse and the child, allowing the nurse to provide appropriate support and information based on the child's understanding and perspective.

D. "It's natural to worry about death, but you should focus your energy on getting better.": While this response acknowledges the child's worry, it may come across as dismissive or minimizing of the child's concerns about mortality. It's important to validate the child's emotions and offer support rather than redirecting their focus away from their worries.

A. Measuring the child's abdominal circumference B. Palpating the child's abdomen C. Providing clear liquids up to 1 hr prior to surgery D. Continuously monitoring the child's oxygen saturation

Correct Answer is A

Explanation

A. Measuring the child's abdominal circumference:

This is the correct action. Assessing the child's abdominal circumference is essential in monitoring the size of the Wilms' tumor and evaluating for any signs of abdominal distention or growth. Changes in abdominal circumference can provide valuable information about the progression of the tumor and any potential complications.

B. Palpating the child's abdomen:

Palpating the child's abdomen is an essential part of the physical examination to assess for the presence of a mass or any tenderness. However, in the case of a child with a known Wilms' tumor, palpation should be performed gently to avoid causing discomfort or disturbing the tumor.

C. Providing clear liquids up to 1 hr prior to surgery:

Providing clear liquids up to 1 hour prior to surgery is not appropriate for a child undergoing surgery, especially if anesthesia is involved. Preoperative fasting guidelines typically require clear liquids to be stopped a few hours before surgery to reduce the risk of aspiration.

D. Continuously monitoring the child's oxygen saturation:

Continuous monitoring of the child's oxygen saturation is an essential aspect of perioperative care, but it is not specific to the preoperative assessment for a child with Wilms' tumor. Oxygen saturation monitoring is typically performed throughout the perioperative period to ensure adequate oxygenation during surgery and recovery.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a school-age child who has metastatic osteosarcoma. The child asks the nurse, "Am I going to die?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A charge nurse is assisting a newly licensed nurse with the preoperative assessment of a 2-year-old child who has a Wilms' tumor. Which of the following actions by the newly licensed nurse indicates an understanding of the needed care?

Correct Answer is A

Explanation

A nurse in a pediatric clinic is performing a history and physical for a toddler who is scheduled to receive a measles, mumps, and rubella (MMR) immunization. Which of the following findings indicate that the immunization should be withheld?

A nurse is creating a plan of care for a child who is awake and responsive following an acute head injury. Which of the following interventions should the nurse include?

A nurse is assessing an infant who has hydrocephalus. Which of the following clinical manifestations should the nurse expect?

A nurse working on an outpatient surgical unit is providing discharge teaching to the parent of a preschooler following placement of tympanoplasty tubes. The parent asks the nurse, "What should I do if the tubes fall out?" Which of the following responses should the nurse make?

A nurse in the emergency department is caring for a preschooler who has epiglottitis. Which of the following actions should the nurse take?

A nurse in a pediatric clinic is discussing the pathophysiology of Reye syndrome with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicate an understanding of the disorder?

A nurse is completing an assessment following suctioning of a child who has a tracheostomy. Which of the following findings should the nurse identify as an indication that the procedure has been effective?

A nurse is assessing a toddler who has infective endocarditis. Which of the following findings should the nurse expect?