A nurse is preparing to administer azithromycin oral suspension 10 mg/kg/day to a 15-month- old infant who has otitis media. The infant weighs 22 Ib. The amount available is azithromycin oral suspension 200 mg/5 mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["2.5"]

- Convert the infant's weight from pounds to kilograms: 22 Ib / 2.2 = 10 kg

- Calculate the daily dose of azithromycin: 10 mg/kg/day x 10 kg = 100 mg/day

- Calculate the volume of azithromycin oral suspension needed: 100 mg/day / (200 mg/5 mL) = 2.5 mL/day

- Round the answer to the nearest tenth: 2.5 mL/day

- The nurse should plan to administer 2.5 mL of azithromycin oral suspension to the infant.

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A reason:

Wrapping the extremity loosely with an elastic bandage may provide support but is not specifically aimed at reducing swelling.

Choice B reason:

Applying warm compresses can be beneficial for some types of injuries, but for a sprained wrist, cold compresses are more effective in reducing swelling.

Choice C reason:

This statement is correct. Elevating the extremity above the level of the heart helps to reduce swelling by promoting venous return and reducing blood flow to the affected area.

Choice D reason:

Encouraging active range of motion may be important for rehabilitation, but it is not the initial intervention for minimizing swelling in the first 12 to 24 hours after a sprain.

A. Give pain medications on a schedule. B. Initiate contact isolation. C. Offer clear liquids. D. Maintain strict bed rest.

Correct Answer is A

Explanation

Choice A reason:

Providing pain medication on a schedule is important for managing pain and ensuring the child's comfort, especially after a surgery involving peritonitis.

Choice B reason:

Contact isolation is not typically indicated for a child postoperative for appendicitis unless there is a specific infectious concern. It is not a routine intervention.

Choice C reason:

Offering clear liquids may be appropriate depending on the child's individual recovery and surgeon's orders. However, this should be determined on an individual basis and is not a standard postoperative intervention.

Choice D reason:

Maintaining strict bed rest may not be necessary for all children postoperative for appendicitis. Early mobilization and ambulation are often encouraged to promote recovery.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?

Correct Answer is C

Explanation

A nurse is assisting with the plan of care for a child who is 12 hr postoperative following a ruptured appendix with peritonitis. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

A nurse is collecting data from an adolescent who has diabetes mellitus and is receiving glucagon therapy. Which of the following findings indicates the therapy has been effective?

A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?

A nurse is assisting with the care of a 2-month-old infant who has a subdural hematoma. Which of the following findings should the nurse expect?

A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?

A nurse is caring for a toddler whose guardian reports multiple episodes of diarrhea. The provider suspects Clostridium difficile. Which of the following actions should the nurse take?

A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?

A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?