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A nurse is preparing to administer cefacior to a preschooler who weighs 20 kg. The child is to receive cefacior 30 mg/kg/day to divide equally every 8 hr. Available is cefaclor suspension 125 mg/5 mL. How many mL should the nurse administer for one dose? (Round 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 ["8"]

To calculate the dose;

Weight= 20kg

Dose = 30mg/kg/day 8 hourly

Dose per day = 2030= 600mg

8hourly dose= 600/3= 200mg

Volume to give

125mg= 5ml

200mg = 2005/125

= 8ml

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. Yellow-tinged sputum is not uncommon in patients with pneumonia and while it should be monitored, it is not typically a sign of an adverse reaction to linezolid.

B. Nausea and headache may occur with many medications and are not specific to linezolid; these symptoms should be reported, but they are not the most critical.

C. Watery diarrhea could indicate a potentially serious condition known as Clostridium difficile- associated diarrhea, which is an important complication to report when a patient is on antibiotics like linezolid.

D. Increased fatigue can be associated with the client's underlying condition of pneumonia and while it should be assessed, it is not the most critical finding to report in relation to linezolid therapy.

A. When the client has ankle edema. B. Within the first trimester of pregnancy. C. If the client has an elevated blood pressure. D. During admission to labor and delivery.

Correct Answer is C

Explanation

A. When the client has ankle edema Ankle edema may indicate fluid retention, which is common during pregnancy but is not directly related to the assessment of deep tendon reflexes (DTRs).

B. Within the first trimester of pregnancy: Assessing DTRs within the first trimester of pregnancy is not specifically indicated unless there are other signs or symptoms of concern.

C. If the client has an elevated blood pressure: Assessment of DTRs is particularly important if the client has an elevated blood pressure, as it may indicate preeclampsia, a serious pregnancy complication characterized by hypertension and proteinuria.

D. During admission to labor and delivery: While assessment of DTRs may be included in the admission assessment to labor and delivery, it is particularly important to assess DTRs if the client has an elevated blood pressure, as it may indicate preeclampsia.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for a client who is receiving linezolid IV for nosocomial pneumonia, which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)?

Correct Answer is C

Explanation

The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?

The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statement(s) made by the client should the nurse recognize as needing additional education? (Select all that apply.)

A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?