A child who weighs 30 kg is experiencing a grand mal seizure.

The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials.

How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth).

Answer and Explanation

The Correct Answer is ["1.8"]

Step 1: Calculate the total dose of diazepam for this child by multiplying the child’s weight (30 kg) by the prescribed dose (0.3 mg/kg). This calculation gives a total dose of 9 mg (30 kg × 0.3 mg/kg = 9 mg).

Step 2: Divide the total dose (9 mg) by the concentration of the medication (5 mg/mL) to determine the volume to be administered. This calculation gives a volume of 1.8 mL (9 mg ÷ 5 mg/mL = 1.8 mL).

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale
Juvenile idiopathic arthritis (JIA) is a chronic condition that can cause joint damage and pain. Physical therapy is an essential part of managing JIA, and it often includes a variety of exercises to improve strength, flexibility, and overall joint health. One of the recommended physical activities for JIA patients is exercising in a swimming pool. Water-based exercises, also known as hydrotherapy, are beneficial because the buoyancy, resistance, and warmth of water can help reduce joint stress, increase muscle strength, and improve range of motion.
Choice B rationale
While regular exercise is important for adolescents with JIA, starting a training program that involves weight lifting and running might not be the best option. These activities can put excessive strain on the joints and potentially exacerbate symptoms. It’s crucial to choose low-impact exercises that won’t put too much stress on the joints.
Choice C rationale
Passive range of motion exercises can be beneficial for maintaining joint mobility in JIA patients. However, these exercises alone may not be sufficient for strengthening and mobilizing the joints and surrounding muscles. A comprehensive physical therapy regimen, including a combination of strengthening, stretching, and aerobic exercises, is typically recommended.
Choice D rationale
Splinting can be used in JIA management to help maintain bone and joint alignment and prevent deformities. However, splinting is typically used as an adjunct to other treatments and not as the primary method of encouraging joint mobilization and muscle strengthening. Therefore, while splinting can be beneficial, it should not be the only strategy implemented for physical therapy.

A. Divide the gluteal area into quarters and give IM into the upper outer quadrant. B. Administer the injection into the middle of the lateral aspect of the thigh. C. Use a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage. D. Give in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process.

Correct Answer is B

Explanation

Choice A rationale
Dividing the gluteal area into quarters and giving the IM injection into the upper outer quadrant is not the recommended technique for a 16-month-old toddler. This site is not typically used until after the child has begun walking regularly and has developed sufficient muscle mass.
Choice B rationale
Administering the injection into the middle of the lateral aspect of the thigh is the recommended technique for a 16-month-old toddler. The vastus lateralis muscle in the thigh is usually the preferred site for IM injections in infants and young children.
Choice C rationale
Using a needle length of 1/2 inch (1.25 cm) to avoid deep tissue damage is not the recommended technique for a 16-month-old toddler. The needle length should be appropriate for the age and size of the child, and a 1/2 inch needle may not be long enough to reach the muscle tissue.
Choice D rationale
Giving the injection in the arm, one to 2 inches (2.5 to 5.0 cm) below the acromion process, is not the recommended technique for a 16-month-old toddler. The deltoid muscle in the arm is typically not used for IM injections until after the child is 3 years old.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a 16-year-old, who has juvenile idiopathic arthritis (JIA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?

Correct Answer is A

Explanation

The nurse is giving an intramuscular injection of an antibiotic to a 16-month-old toddler with pneumonia. The toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration?

Correct Answer is B

Explanation

Which snack choice by a school-aged child with gastroesophageal reflux indicates to the nurse that the child understands the dietary restrictions?

The nurse is monitoring a child with hydrocephalus who received a ventriculoperitoneal (VP) shunt yesterday. Which assessment finding indicates to the nurse that the shunt is functioning normally?

A nurse is educating parents about essential dietary modifications for their child, who has recently been diagnosed with celiac disease. Which foods should the nurse include in the list of permissible foods for this child?

The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?

The nurse is caring for a school-age child with crusting and swollen eyelids, purulent drainage, and inflamed conjunctiva. The child receives a prescription for an ophthalmic antinfective ointment. What instruction should the nurse provide the child’s caregivers during discharge education?

The nurse is teaching a school-age child with left femoral osteomyelitis and the child’s parent before discharge. What instruction should the nurse give related to the initial phase of treatment?

When caring for a child in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?

A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?