A nurse is caring for an infant with a temperature of 102.5°F (39.1°C). The health care provider has prescribed acetaminophen 10 mg/kg every 4 to 6 hours for a temperature of 101.4°F (38.6°C) or higher. The infant weighs 14 pounds. How many milligrams should the nurse administer? Please enter the numeric value only. Round to the nearest whole number.
The Correct Answer is ["64"]
Step-by-step calculation:
Step 1 is: Convert pounds to kilograms.
1 kg = 2.2 lbs.
(14 lbs ÷ 2.2) = 6.36 kg.
Step 2 is: Multiply weight in kilograms by the prescribed dose.
6.36 kg × 10 mg = 63.6 mg.
Step 3 is: Round to the nearest whole number.
63.6 mg ≈ 64 mg.
Final Answer: 64 mg.
Rationale:
The correct acetaminophen dose for infants is 10–15 mg/kg per dose every 4–6 hours, not to exceed 5 doses in 24 hours. Accurate weight-based dosing is crucial to avoid toxicity, particularly hepatotoxicity, which can occur with overdose. Rounding to the nearest milligram ensures precise administration while maintaining safety in pediatric pharmacotherapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Constipation can cause abdominal discomfort, but it typically presents with gradual onset and does not resolve suddenly. Pain from constipation is usually persistent until bowel movement occurs and is not associated with fever or abrupt relief.
Choice B reason: A sudden resolution of pain in a child with RLQ tenderness, fever, and decreased appetite is a red flag for ruptured appendix. When the appendix bursts, the pressure is relieved, leading to a temporary cessation of pain. However, this is followed by worsening systemic symptoms due to peritonitis. The abrupt drop in pain intensity is a classic sign of rupture and requires immediate medical attention.
Choice C reason: Urinary tract infections may cause lower abdominal pain and fever, but they do not typically present with sudden pain relief. The pain is usually persistent and associated with urinary symptoms such as dysuria or frequency.
Choice D reason: Intussusception presents with intermittent, crampy abdominal pain, often accompanied by vomiting and "currant jelly" stools. Pain episodes are paroxysmal and may resolve temporarily, but the pattern is different from the sudden and complete relief seen in appendiceal rupture.
Correct Answer is A
Explanation
Choice A reason: Cereal is an appropriate finger food for a 2-year-old, especially if it is dry, bite-sized, and easy to chew. It poses minimal choking risk and supports self-feeding skills. Whole grain cereals can also contribute to fiber intake and are developmentally suitable for toddlers.
Choice B reason: Chunks of hot dogs are a known choking hazard for toddlers. Their smooth, cylindrical shape can easily obstruct the airway. If hot dogs are served, they must be sliced lengthwise and then into small pieces to reduce risk. Offering them in chunks is unsafe and inappropriate.
Choice C reason: Grapes are another high-risk choking food for toddlers. Whole grapes can block the airway due to their size and firmness. Grapes should be cut into quarters or smaller before serving to children under 4 years old. Offering whole grapes is not safe.
Choice D reason: Chunks of raw carrots are too hard and pose a choking hazard for toddlers. If carrots are offered, they should be cooked until soft and cut into small, manageable pieces. Raw chunks are inappropriate for this age group.
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