A nurse is calculating the maximum recommended dose that a school-age client diagnosed with depression can receive for sertraline (Zoloft). The recommended pediatric dose for sertraline (Zoloft) is 5 to 3 mg/kg/day. If the child weighs 31 kg, the maximum recommended dose for this child would be mg. Round the answer to the nearest whole number
The Correct Answer is ["93"]
To calculate the maximum recommended dose of sertraline (Zoloft) for a child who weighs 31 kg, follow these steps:
- Identify the maximum dose per kilogram: 3 mg/kg/day.
- Multiply the child's weight by this maximum dose:
Maximum Dose (mg/day) =31 kg×3 mg/kg/day= 93 mg
So, the maximum recommended dose for this child would be 93 mg/day (rounded to the nearest whole number).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
A. Urticaria (hives) could indicate an allergic reaction or hypersensitivity to the chemotherapy, which needs to be addressed immediately to prevent more severe reactions, such as anaphylaxis.
B. Fatigue is a common side effect of chemotherapy and not usually an immediate concern unless accompanied by signs of more serious complications.
C. Anorexia can occur during chemotherapy but is typically managed with dietary adjustments and does not usually require urgent attention unless it leads to dehydration or significant weight loss.
D. Vomiting is a common side effect of chemotherapy, but it is usually managed with antiemetic medication and is not as immediately concerning as an allergic reaction.
Correct Answer is B
Explanation
A. A low-fat diet is inappropriate for children with cystic fibrosis; they require a high-fat, high-calorie diet.
B. Pancreatic enzymes must be taken with every meal and snack to help with nutrient absorption in children with cystic fibrosis.
C. Limiting fluid intake is not appropriate for children with cystic fibrosis; adequate hydration is important.
D. Salt intake should be increased, not restricted, in children with cystic fibrosis due to excessive salt loss in sweat.
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