A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb. How many mg should the nurse administer? (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 ["89"]

Determine the infant's weight in kg:13 lb ÷ 2.2 = 5.91 kg

Calculate the total daily dose:30 mg/kg/day × 5.91 kg = 177.3 mg/day

Divide the total daily dose by 2 (since the medication is given every 12 hours):177.3 mg ÷ 2 = 88.65 mg per dose

Round to the nearest whole number:89 mg per dose

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Correct Answer is B

Explanation

A. Heart rate – No data regarding heart rate is provided in the exhibit, so this is not a relevant option.
B. HbA1c – The child's HbA1c level is 8.5%, which is elevated above the normal range (4% to 5.9%). This indicates poor glycemic control, suggesting the development of cystic fibrosis-related diabetes (CFRD), a common complication of cystic fibrosis. This should be reported to the provider for further evaluation and management.
C. WBC count – The WBC count is 9,600/mm³, which is within the normal range (5,000 to 10,000/mm³), so it does not require reporting.
D. Oxygen saturation – No data regarding oxygen saturation is provided in the exhibit, making this option irrelevant.

A. Obtain a blood culture. B. Request a referral for physical therapy. C. Administer IV antibiotics. D. Record intake and output.

Correct Answer is A

Explanation

A. Obtain a blood culture. The first action is to obtain a blood culture to identify the causative organism before starting antibiotic therapy. This ensures that the appropriate antibiotic is selected.
B. Request a referral for physical therapy. Physical therapy may be needed later, but it is not the priority during admission.
C. Administer IV antibiotics. Antibiotics should be given after obtaining a blood culture to avoid altering the test results.
D. Record intake and output. While monitoring fluid balance is important, it is not the priority action during admission.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

Correct Answer is B

Explanation

A nurse is admitting a school-age child who has osteomyelitis. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is teaching the guardian of a child who is suspected of having cystic fibrosis and is scheduled for a sweat chloride test. Which of the following statements should the nurse include?

A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?

A nurse in a clinic is assessing an infant who has diarrhea, is lethargic, and has dry skin. Which of the following findings indicates moderate dehydration?

A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs. Which of the following statements should the nurse make?

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