A nurse is caring for a preschooler who has heart failure and a new prescription for furosemide 4 mg/kg every 8 hr. The child weighs 16 kg (35 lb). Available is furosemide oral solution 40 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["8"]
Calculation:
- Calculate the desired dose in milligrams (mg) per administration.
Desired dose (mg) = 4 mg/kg × 16 kg
= 64 mg.
Available concentration of the medication = 40 mg/5 mL.
- Calculate the volume in milliliters (mL) to administer per dose.
Volume (mL) = Desired dose (mg) / (Available concentration (mg) / Available volume (mL))
= 64 mg / (40 mg / 5 mL)
= 8 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Lack of subcutaneous fat: Lack of subcutaneous fat may indicate neglect or malnutrition, but it is not a specific sign of sexual abuse.
B. Unexplained illness: Unexplained illness could be related to various conditions, including neglect or medical issues, but it is not a specific indicator of sexual abuse.
C. Poor personal hygiene: Poor personal hygiene can be a sign of neglect but does not directly point to sexual abuse. It could be due to lack of supervision, resources, or care rather than abuse.
D. Recurrent urinary tract infections: Recurrent urinary tract infections (UTIs) can be a red flag for sexual abuse, especially in young children. These infections may be caused by inappropriate sexual contact or injury to the genital area.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Rationale for Correct Choices:
- Administer anticonvulsant: Since the adolescent is having symptoms that precede a seizure (blurred vision), administering an anticonvulsant as prescribed can help prevent or reduce seizure activity.
- Place the client lying on the side: Lying on the side ensures an open airway and reduces the risk of aspiration during a seizure. This position also allows secretions to drain safely.
Rationale for Incorrect Choices:
- Place a tongue blade in the client’s mouth: A tongue blade can cause injury to the teeth or mouth and increase choking risk. The proper approach is to place the client on their side and avoid putting objects in their mouth.
- Restrict movement in the extremities: Restricting movement could cause injury. The focus should be on safety by allowing the seizure to occur without interference while monitoring vital signs and activity.
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