A nurse is caring for a toddler.
The nurse’s observations are as follows: Heart rate: 150/min, Temperature: 38.9°C (102°F), Respiratory rate: 28/min, Oxygen saturation: 96% on room air, Blood Pressure: 90/43 mm Hg. What should the nurse do next?
Monitor the toddler’s vital signs closely.
Administer supplemental oxygen.
Notify the healthcare provider.
Reassess the toddler in 15 minutes.
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7"]
Explanation
The nurse is preparing to administer amoxicillin 350 mg orally. The available amoxicillin is 250 mg per 5 mL.
Step 1: To find out how many mL the nurse should administer, we need to set up a proportion to calculate the dosage. The proportion is set up as follows: 350 mg (desired dose) : X mL (unknown quantity) = 250 mg (available dose) : 5 mL (known quantity)
Step 2: Cross-multiply to solve for X: 350 mg * 5 mL = 250 mg * X mL Step 3: Simplify the equation: 1750 mgmL = 250X mgmL Step 4: Divide both sides by 250 mg to solve for X: X = 1750 mg*mL ÷ 250 mg = 7 mL.So, the nurse should administer 7 mL of amoxicillin.
Correct Answer is C
Explanation
Choice A rationale
Nystagmus, which is involuntary eye movement, is not a common adverse effect of a platelet transfusion.
Choice B rationale
Bradycardia, or a slow heart rate, is not typically associated with platelet transfusions.
Choice C rationale
Chills can be an adverse effect of a platelet transfusion. This could be a sign of a reaction to the transfusion, such as an allergic reaction or a febrile non-hemolytic transfusion reaction.
Choice D rationale
Hypothermia is not a common adverse effect of a platelet transfusion.
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