The school nurse is preparing to administer amphetamine sulfate 15 mg by mouth (PO) to a child with attention-deficit/hyperactivity disorder ADHD). The child's mother has provided 10 mg tablets for administration at school. How many tablets should the nurse administer?

(Enter umeric value only. If rounding is required, round to the nearest tenth.)

Answer and Explanation

The Correct Answer is ["1.5"]

To determine how many 10 mg tablets of amphetamine sulfate are needed to provide a 15 mg dose, you can use the following calculation:

Number of tablets = Desired dose / Tablet strength

Number of tablets = 15 mg / 10 mg/tablet = 1.5 tablets

Since the nurse is administering a half tablet, it would be important to ensure that the half tablet can be accurately measured and that the mother is aware of this when providing the medication.

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Correct Answer is C

Explanation

A. Breastfeeding frequently is generally recommended for infant health, but it is not specifically related to preventing otitis media recurrence. It has other health benefits for infants.

B. Positioning the infant prone (face down) after feeding is not recommended, and it does not relate to preventing otitis media recurrence. The recommended sleep position for infants is on their back to reduce the risk of sudden infant death syndrome (SIDS).

C. Avoiding smoke exposure is a crucial instruction for preventing otitis media recurrence. Exposure to secondhand smoke is a known risk factor for ear infections in children. It can lead to increased susceptibility to respiratory infections, which can subsequently increase the risk of otitis media.

D. Inspecting the infant's ears daily is not a primary preventive measure for otitis media recurrence. While it's essential to monitor the child's health, checking the ears daily is not a standard practice for preventing ear infections.

A. Ibuprofen should be used prophylactically to prevent febrile seizures. B. Reassure the parents that febrile seizures decrease as the child grows older. C. Avoid excessive visual stimuli because it can precipitate seizure activity. D. Provide the child with a sponge bath for temperatures over 100.6° F (38.1° C)

Correct Answer is B

Explanation

A. Using ibuprofen prophylactically to prevent febrile seizures is not a standard approach and is not generally recommended. The focus should be on managing the child's fever with appropriate fever-reducing medications rather than attempting to prevent febrile seizures with medication.

B. Reassure the parents that febrile seizures decrease as the child grows older.

Febrile seizures are relatively common in young children and are typically associated with rapid increases in body temperature, often due to infections.

The most important information to convey to the parents is that febrile seizures are usually a benign and self-limited condition, and they tend to decrease in frequency and may even resolve as the child grows older. Reassuring parents about the natural course of febrile seizures is vital to alleviate their concerns. However, it's essential to educate them on fever management and when to seek medical attention for their child's febrile seizures.

C. Avoiding excessive visual stimuli is not a standard recommendation for preventing febrile seizures. Febrile seizures are primarily related to fever and not visual stimuli.

D. Providing a sponge bath for temperatures over 100.6° F (38.1° C) can help reduce fever, but it is not directly related to preventing febrile seizures. The main goal in such situations is to manage the fever itself.

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Naxlex Comprehensive Predictor Exams

The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

Correct Answer is C

Explanation

The parents of a 14-month-old child who is hospitalized due to febrile seizures tell the nurse that they fear their child will have lifelong seizures. Which information should the nurse convey to these parents?

Correct Answer is B

Explanation

The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?

The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse?

A six-year-old girl is being admitted to the hospital for repair of an umbilical hernia. Which information, collected by the admitting nurse, is particularly helpful in planning care for this child?

The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrates an understanding of the education? (Select all that apply.)

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