A nurse is preparing to administer simethicone liquid 60mg po in h glass of water every 6 hours pm indigestion. The medication is supplied as a liquid in a bottle labeled 40mVO.4mL, What should the nurse administer for the dose ordered? (Use a leading zero if it applies. Do not use a trailing zero. Round to the tenth place).

Answer and Explanation

The Correct Answer is ["0.6"]

Determine the concentration: The medication is supplied as 40 mg/0.4 mL.

Calculate the mL per mg: 0.4 mL / 40 mg = 0.01 mL/mg

Calculate the volume for 60 mg: 60 mg * 0.01 mL/mg = 0.6 mL

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Correct Answer is D

Explanation

A. "The blood supply to the bone is disrupted." – Incorrect. While fractures can affect blood flow, the main concern with epiphyseal plate fractures is growth impairment.

B. "The younger the child, the longer the healing process will take." – Incorrect. Younger children heal faster than older children or adults due to active bone remodeling.

C. "Bone marrow can be lost through the fracture." – Incorrect. Epiphyseal fractures do not cause bone marrow loss.

D. "Normal bone growth can be affected." – Correct. The epiphyseal plate is responsible for bone growth, and injury to this area can lead to growth disturbances or limb length discrepancies.

Correct Answer is ["70"]

Explanation

The nurse should withhold digoxin if the child's apical heart rate is less than 70 beats per minute because digoxin slows the conduction of electrical signals in the heart and increases the force of cardiac contraction. While this helps to treat conditions like heart failure and arrhythmias, it can also lead to bradycardia. Administering digoxin when the heart rate is already too low increases the risk of adverse effects like severe bradycardia or even cardiac arrest.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose. the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Correct Answer is ["70"]

Explanation

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