A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?

Muscle rigidity.

Abdominal pain.

Temperature 36.4° C (97.5° F).

Heart rate 63/min.

Answer and Explanation

The Correct Answer is A

Muscle rigidity following an appendectomy could be a sign of a serious complication such as peritonitis and should be reported to the provider immediately.

Choice B is wrong because abdominal pain is a common occurrence following an appendectomy and may not necessarily require immediate attention from the provider.

Choice C is wrong because a temperature of 36.4° C (97.5° F) is within the normal range.

Choice D is wrong because a heart rate of 63/min is within the normal range for an adolescent.

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Correct Answer is C

Explanation

The nurse should administer 8 mL of amoxicillin per dose.

Here’s the calculation:

First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.

Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.

Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.

Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.

Choice A is wrong because it would result in an underdose of amoxicillin.

Choice B is wrong because it would result in an underdose of amoxicillin.

Choice D is wrong because it would result in an overdose of amoxicillin.

A. "My child should remain under a beach umbrella during morning hours.” B. "I should dress my child in loose-weave clothing.” C. "I should apply a 10 SPF sunscreen to my child's entire body.” D. "My child should wear a wide-brimmed hat.”

Correct Answer is D

Explanation

Wearing a wide-brimmed hat can help protect a child’s face, neck and ears from the harmful effects of the sun.

Choice A is wrong because while staying under a beach umbrella can provide some protection from the sun, it is not enough on its own.

Choice B is wrong because loose-weave clothing may not provide enough protection from the sun’s rays.

Choice C is wrong because a sunscreen with an SPF of at least 30 is recommended for adequate protection.

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A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?