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A pediatric nurse is calculating a child's medication dosage. The child weighs 30 kilograms and the prescribed dosage is 0.2 milligrams per kilogram. How many milligrams of medication should the nurse administer to the child?

12 milligrams

6 milligrams

18 milligrams

3 milligrams

Answer and Explanation

The Correct Answer is B

Formula: Dosage (mg) = Weight (kg) × Dosage per kg.

30 kg × 0.2 mg/kg = 6 mg

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Correct Answer is C

Explanation

A. Initiate a 2 L/day fluid restriction: Fluid intake should be increased, not restricted, during a sickle cell crisis to help prevent dehydration and improve circulation.

B. Encourage exercise: Exercise is not recommended during a sickle cell crisis as it can worsen symptoms and lead to more complications.

C. Assist with administering a blood transfusion: Blood transfusions are a common treatment during a sickle cell crisis to help increase the number of healthy red blood cells and decrease the risk of further complications.

D. Withhold opioids to avoid dependence: Pain management is essential in a sickle cell crisis, and withholding opioids could lead to unnecessary suffering. Opioids should be given based on the severity of the pain.

A. "Are you aware that your son will have to be in isolation?" B. "Has your child had any injuries recently?" C. "Has your son had a sore throat recently?" D. "Was your son born with this cardiac defect?"

Correct Answer is C

Explanation

A. "Are you aware that your son will have to be in isolation?": Acute rheumatic fever does not typically require isolation, so this is not the most relevant question.

B. "Has your child had any injuries recently?": This question is not specifically related to acute rheumatic fever, which is caused by a preceding streptococcal throat infection, not injuries.

C. "Has your son had a sore throat recently?": This is the most appropriate question, as acute rheumatic fever is a complication that can follow a streptococcal throat infection, so identifying a history of recent sore throat is key.

D. "Was your son born with this cardiac defect?": Rheumatic fever is an acquired condition, not a congenital defect.

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A pediatric nurse is calculating a child's medication dosage. The child weighs 30 kilograms and the prescribed dosage is 0.2 milligrams per kilogram. How many milligrams of medication should the nurse administer to the child?

Nursing Test Bank

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