A nurse is preparing to administer liquid ibuprofen to a school-age child. The prescription reads 200 mg every 8 hr. The amount available is 100 mg/5 mL. How many mL of ibuprofen should the nurse administer over a 24-hr period? (Round the answer 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 ["30"]

To calculate the dosage of ibuprofen in milliliters for a 24-hour period, we start by determining the total milligrams required per day. Since the prescription is for 200 mg every 8 hours, the child will need three doses in 24 hours (200 mg x 3 = 600 mg). Next, we convert the total milligrams into milliliters using the concentration provided. The formula is: (Total mg needed / Concentration of mg) x Volume of each concentration = Total mL. Plugging in the numbers: (600 mg / 100 mg) x 5 mL = 30 mL.

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Correct Answer is C

Explanation

A. Capillary refill of 2 seconds is normal and does not indicate decreased cardiac output.
B. Warm extremities are a positive sign, indicating good perfusion.
C. Diminished pulses can indicate decreased cardiac output, suggesting inadequate perfusion to the extremities.
D. The blood pressure reading provided is within normal limits for a preschool-aged child and does not indicate decreased cardiac output.

A. Discard residual fluid aspirated from the stomach prior to the feeding. B. Administer the formula immediately after removing it from the refrigerator. C. Elevate the head of the bed to a 45-degree angle. D. Administer the feeding at a rate of 30 mL/min.

Correct Answer is C

Explanation

A. Residual fluid should not be discarded unless instructed by a healthcare provider, as it provides important information about gastric emptying and tolerance to previous feedings.
B. Formula should be brought to room temperature before administration to avoid causing discomfort or gastric irritation. Cold formula can cause cramps and slow gastric motility.
C. Elevating the head of the bed to a 45-degree angle helps prevent aspiration during feeding and promotes proper digestion. This position is critical for patient safety.
D. The feeding rate should be individualized based on the child's tolerance and prescribed regimen, and 30 mL/min is typically too fast for a preschooler, increasing the risk of aspiration or intolerance.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy?

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