A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

The nurse determines the prescription is insufficient to achieve the desired effect.

The nurse determines the prescription is above the recommended dosage range.

The nurse contacts the pharmacist to adjust the prescribed dosage.

The nurse administers the prescribed dosage.

Answer and Explanation

The Correct Answer is A

A. According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg). Therefore, the prescribed dosage of 300 mg/day is below the recommended range.

B. The nurse determines the prescription is above the recommended dosage range. This is incorrect because the prescribed dosage is actually below the recommended range.

C. The nurse contacts the pharmacist to adjust the prescribed dosage. This would be an appropriate action since the prescribed dosage does not meet the recommended range, and collaboration with the pharmacist could ensure the correct dosage is administered.

D. The nurse administers the prescribed dosage. This would not be appropriate without first addressing the discrepancy between the prescribed dosage and the recommended range.

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Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

The increase in axillary temperature to 100.5° F is significant and could indicate an infection or other inflammatory process. The heart rate has increased to 105/min, which, along with the reported symptoms of heat intolerance, nervousness, and irregular heartbeat during exercise, may suggest an endocrine disorder such as hyperthyroidism. The significant weight loss of 20 pounds in a month without changes in diet or physical activity is also concerning and warrants further investigation. The patient's history of having a bowel movement after every meal could be related to the reported diarrhea and should be explored further.

A. Have the place a plastic bag over their head and breathe. B. Teach the client breathing techniques that focus on breathing and relaxing C. Position the client in a high-Fowler position. D. Encourage the client to try to remain calm.

Correct Answer is B

Explanation

A. Having the client place a plastic bag over their head is dangerous and should never be done.

B. Teaching breathing techniques, such as diaphragmatic breathing or using a paper bag, helps the client retain more carbon dioxide and can prevent respiratory alkalosis.

C. Positioning the client in a high-Fowler position may be helpful for breathing but does not address hyperventilation or respiratory alkalosis directly.

D. While encouraging the client to remain calm may help, it is not as effective as teaching specific breathing techniques.

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A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F","G"]

Explanation

A nurse in the community clinic is providing care to a client who is anxious and hyperventilating. What should the nurse do to reduce the risk of respiratory alkalosis?

Correct Answer is B

Explanation

When collecting data, the nurse understands which individual is the primary source of information regarding pain tolerance.

A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A prescription reads morphine sulfate, 8 mg stat. The medication ampule reads morphine sulfate, 10mg/ml. The nurse prepares how many milliliters (mL) to administer the correct dose. Round to the nearest tenth.

The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

A nurse is caring for a 24-year-old client who reports a recent fall, hitting their head and right shoulder. Exhibits Complete the sentence by using the list of options. The nurse should first address the client's followed by the client's .