A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse 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 ["12.5"]

To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms. To do this, we multiply 55 lb by 0.4536 kg/lb, which gives us 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams. To do this, we multiply 10 mg/kg by 24.948 kg, which gives us 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer. To do this, we use the formula:

(mg of ibuprofen) / (mg/mL of ibuprofen solution) = mL of ibuprofen solution

Substituting the values, we get:

(249.48 mg) / (100 mg/5 mL) = 12.474 mL

Rounding to the nearest tenth, the answer is 12.5 mL. Therefore, the nurse should administer 12.5 mL of ibuprofen solution to the child.

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Correct Answer is A

Explanation

A. The nurse should weigh the child once per day, preferably in the morning and using the same scale and clothing, to monitor fluid status and response to treatment. Weight is the most accurate indicator of fluid balance in children with nephrotic syndrome.
B. Positioning the child supine at bedtime is not specifically indicated for the acute stage of nephrotic syndrome. This can worsen edema and respiratory distress.
C. Limiting calorie intake to 45 cal/kg/day is too low and can cause malnutrition and growth failure. The nurse should provide a high-calorie, high-protein, low-sodium diet to meet the child's nutritional needs and prevent muscle wasting.
D. Increasing fluid intake to 2 L/day is contraindicated in a child with nephrotic syndrome, as it can exacerbate edema and fluid overload. The nurse should restrict fluid intake according to the provider's orders and based on the child's weight and urine output.

A. No head lag when pulled to a sitting position B. Doll's eye reflex intact C. Presence of tears when crying D. Positive Babinski reflex

Correct Answer is B

Explanation

A. No head lag when pulled to a sitting position is a normal finding at 4 months of age.
B. They should not have doll's eye reflex intact, which means that their eyes move in the opposite direction of their head when turned. This reflex normally disappears by 3 months of age and its persistence may indicate brain damage.
C. The presence of tears when crying is a normal finding at 4 months of age.
D. They should also have positive Babinski reflex, which means that their toes fan out when their sole is stroked. This reflex normally disappears by 12 months of age.

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A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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