The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.

Answer and Explanation

The Correct Answer is ["8"]

To calculate the dosage of diphenhydramine (Benadryl) for the child, we first determine the total milligrams needed per dose by multiplying the child's weight in kilograms by the prescribed milligrams per kilogram. The child weighs 20 kg, so the calculation is 20 kg * 5 mg/kg, which equals 100 mg per dose. The medication is supplied at a concentration of 12.5 mg per 5 ml. To find out how many milliliters are needed to provide 100 mg, we set up a proportion: 12.5 mg/5 ml = 100 mg/x ml. Solving for x gives us x = (100 mg * 5 ml) / 12.5 mg, which equals 40 ml. Therefore, the nurse will administer 40 milliliters of the medication for one dose.

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Correct Answer is ["A","D","E"]

Explanation

A. Positioning the infant on their back and upright in Semi-Fowler's helps prevent aspiration and supports respiratory function after surgery.

B. Encouraging parents to hold the baby is important for bonding, but caution should be taken to avoid placing pressure on the surgical site.

C. Aspirin should not be administered due to the risk of Reye's syndrome; acetaminophen is typically used for pain management in infants.

D. Applying elbow restraints as ordered is necessary to prevent the infant from pulling at the surgical site and to ensure proper healing.

E. Maintaining IV therapy is crucial for nutrition until the infant can take oral feeds safely.

A. I can give this medication every 2 hrs for fever B. I can give up to 4000 mg each day by mouth if my child is irritable C. I can give this medication rectally if my child has a fever and is having vomiting D. I will notify the provider notice that the whites of my child's eyes are yellow

Correct Answer is B

Explanation

A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.

B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.

C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.

D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-month-old infant who is one day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? Select all that apply

Correct Answer is ["A","D","E"]

Explanation

A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

Correct Answer is B

Explanation

A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

The nurse is caring for a 2 month old child with a fever of 101.76. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?