The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

Answer and Explanation

The Correct Answer is ["4.5"]

1 kilogram equals 2.2 pounds. The child weighs 20 pounds, which is approximately 9.09 kilograms (20 / 2.2).

The dosage prescribed is 10 mg/kg, so the child's dose is 90.9 mg (10 mg/kg * 9.09 kg).

Since the available medication concentration is 100 mg/5 mL, divide the dose needed by the concentration to find the volume to administer: 90.9 mg * (5 mL / 100 mg) equals 4.545 mL.

Rounded to the nearest tenth, the nurse should administer 4.5 mL of ibuprofen.

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Correct Answer is D

Explanation

A. While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B. This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C. This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D. Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.

A. "The pressure in the anterior cavity of your eye became elevated, shifting the position of your lens. B. "There's an irregular curvature of your cornea, causing your blurred vision' C. The portion of your eye call the macula, which is responsible for the central vision, is damaged" D. "Your lens became cloudy, causing blurred vision. This cloudiness will increase over time

Correct Answer is C

Explanation

A. This statement describes glaucoma, not macular degeneration. Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and vision loss. It does not specifically pertain to damage of the macula or central vision.
B. This statement refers to conditions like astigmatism, where the cornea has an irregular shape, leading to blurred vision. It is not relevant to macular degeneration, which involves damage to the retina rather than the curvature of the cornea.
C. This statement accurately describes macular degeneration. The macula is the part of the retina responsible for sharp central vision, which is crucial for tasks like reading and recognizing faces. In macular degeneration, this area deteriorates, leading to loss of central vision.
D. This statement describes cataracts, where the lens of the eye becomes cloudy, leading to blurred vision. Cataracts and macular degeneration are distinct conditions, with different causes and impacts on vision.

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The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A patient diagnosed with macular degeneration asks the nurse to explain his condition. Which statement by the nurse best describes macular degeneration?

Correct Answer is C

Explanation

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