A nurse is planning care for an 8-month-old infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
Place the infant in a prone position.
Repeat a digoxin dosage if the infant vomits within 1 hr. of administration.
Administer cool, humidified oxygen via nasal cannula
Provide less frequent, higher volume feedings
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
Choice A Reason:
Partial thromboplastin time (PTT): PTT is a test that evaluates the blood's ability to clot properly. While rheumatic fever can involve inflammation affecting various systems, it's not directly associated with significant changes in coagulation parameters like PTT.
Choice B Reason:
Blood urea nitrogen (BUN): BUN measures the amount of nitrogen in the blood that comes from urea, a waste product of the liver's metabolism of protein. It's commonly used to assess kidney function and hydration status. Rheumatic fever primarily involves inflammatory processes affecting the heart, joints, skin, and nervous system, and it typically doesn't have a direct impact on BUN levels.
Choice C Reason:
Erythrocyte sedimentation rate (ESR): Elevated ESR is a non-specific marker of inflammation and can be elevated in rheumatic fever due to the inflammatory response.
Choice D Reason:
C-reactive protein (CRP): Similar to ESR, CRP is an acute-phase reactant and tends to rise in response to inflammation, so elevated CRP levels can indicate an inflammatory process like rheumatic fever.
Choice E Reason:
Antistreptolysin O (ASO) titer: This test measures antibodies produced by the body against streptolysin O, a toxin produced by Streptococcus bacteria. Elevated ASO titers can indicate a recent streptococcal infection, which is a predisposing factor for rheumatic fever.
Correct Answer is ["5"]
Explanation
The dosage is 80 mg/kg/day, and the child weighs 10 kg.
80 mg/kg/day * 10 kg = 800 mg/day
Since this is divided into two doses per day:
800 mg/day ÷ 2 doses = 400 mg per dose
Now, let's determine the amount of amoxicillin suspension needed for each dose:
The amoxicillin suspension is 400 mg per 5 mL.
400 mg per dose ÷ 400 mg per 5 mL = 5 mL per dose
Therefore, the nurse should administer 5 mL of amoxicillin suspension per dose to the 2-year-old client weighing 10 kg.
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