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 ["B","C","D"]

Explanation

A. Hemodialysis is not indicated for a low calcium level unless associated with severe renal failure or other metabolic disturbances.

B. Safety precautions are important due to the risk of fractures or injury caused by weakened bones and muscle spasms related to hypocalcemia.

C. Administering prescribed calcium supplements is a key intervention to correct hypocalcemia.

D. Tetany, a sign of severe hypocalcemia, should be assessed as it can lead to muscle cramps and spasms.

E. Educating the client to avoid foods that are high in calcium would not be appropriate, as the client requires calcium to address the low levels.

A. Stage III B. unstageable C. necrotic stage I D. stage II

Correct Answer is B

Explanation

A. Stage III pressure ulcers are characterized by full-thickness skin loss that extends into the subcutaneous tissue layer but does not involve underlying muscle or bone. The ulcer appears as a deep crater, and there may be damage to the surrounding tissue.
B. The above image depicts an Unstageable pressure ulcers since the base of the ulcer is covered by slough in the wound bed.
C. The term 'necrotic stage I' is not typically used in the staging of pressure ulcers. Necrosis refers to dead tissue, which is not present in a Stage I pressure ulcer. Stage I ulcers are characterized by intact skin with non-blanchable redness of a localized area usually over a bony prominence.

D. Stage II pressure ulcers involve partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed or as an intact or ruptured blister. The ulcer is painful and may appear as a shiny or dry shallow ulcer without slough or bruising.

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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

A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).

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

Explanation

The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?

Correct Answer is B

Explanation

The nurse is caring for a group of clients in the outpatient facility. Which clients are at risk for developing skin cancer? Select three options that place a client at risk for skin cancer

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