A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number

Answer and Explanation

The Correct Answer is ["300"]

To calculate the dose of ceftriaxone for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms when divided by 2.2. The prescribed dose is 60 mg/kg/day, so for a 15 kg child, this would be 900 mg per day. Since the medication is to be administered in three divided doses, you would divide 900 mg by 3, resulting in 300 mg per dose.

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Correct Answer is B

Explanation

A. Poor skin turgor typically indicates dehydration, not fluid overload.

B. Shortness of breath can be a sign of fluid overload, particularly in children with renal failure, as excess fluid can accumulate and lead to pulmonary edema.

C. Redness at the tube insertion site may indicate infection but does not specifically relate to fluid overload.

D. Fever is a sign of infection or inflammation and does not directly indicate fluid overload.

A. Constipation B. High fever C. Bradycardia D. Pain

Correct Answer is D

Explanation

A. Constipation can occur but is not a direct symptom of sickle cell crisis; it’s more related to hydration and diet.

B. High fever may occur due to infection, but it is not a guaranteed finding in every sickle cell crisis.

C. Bradycardia is not typically associated with sickle cell crisis; tachycardia is more common due to pain and stress.

D. Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.

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Naxlex Comprehensive Predictor Exams

The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?

Correct Answer is B

Explanation

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

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The nurse is reviewing appropriate nutritional options for a child who is receiving chemotherapy and has been prescribed a neutropenic diet. The nurse would recommend which of the following options

The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by a parent would indicate a need for additional education?

A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments sacation.co continue NPO status?

The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.