A nurse is preparing to administer azithromycin oral suspension 10 mg/kg/day to a 15-month- old infant who has otitis media. The infant weighs 22 Ib. The amount available is azithromycin oral suspension 200 mg/5 mL. How many mL should the nurse plan to administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["2.5"]

- Convert the infant's weight from pounds to kilograms: 22 Ib / 2.2 = 10 kg

- Calculate the daily dose of azithromycin: 10 mg/kg/day x 10 kg = 100 mg/day

- Calculate the volume of azithromycin oral suspension needed: 100 mg/day / (200 mg/5 mL) = 2.5 mL/day

- Round the answer to the nearest tenth: 2.5 mL/day

- The nurse should plan to administer 2.5 mL of azithromycin oral suspension to the infant.

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Correct Answer is C

Explanation

Choice A reason:

Improved feedings can be a positive sign, but it may not directly indicate the therapeutic effect of phenobarbital.

Choice B reason:

Restored surfactant is not directly related to the action of phenobarbital, which is used to manage symptoms of neonatal abstinence syndrome.

Choice C reason:

Phenobarbital is a medication that can help alleviate CNS irritability in infants with neonatal abstinence syndrome. Therefore, a decrease in CNS irritability indicates a therapeutic effect of the medication.

Choice D reason:

Decreased excoriation is not a primary effect of phenobarbital. This medication primarily addresses CNS symptoms associated with neonatal abstinence syndrome.

A. Provide detailed information about the procedure to the parent. B. Discuss the benefits of the procedure. C. Explain the risks associated with the procedure. D. Determine the parent's understanding of the procedure.

Correct Answer is D

Explanation

Choice A reason:

Providing detailed information about the procedure is important, but the first step in obtaining informed consent is to ensure that the parent understands the information. This can be achieved by assessing their understanding.

Choice B reason:

Discussing the benefits of the procedure is part of providing information for informed consent, but it should come after assessing the parent's understanding.

Choice C reason:

Explaining the risks associated with the procedure is important, but the first step is to ensure the parent comprehends this information, which can be achieved through assessment.

Choice D reason:

This statement is correct. Before proceeding with detailed information, it is essential to determine the parent's current understanding of the procedure to ensure they can make an informed decision.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a 1-month-old infant who has neonatal abstinence syndrome and is receiving phenobarbital. Which of the following findings indicates to the nurse that the medication has had a therapeutic effect?

Correct Answer is C

Explanation

A nurse is assisting with obtaining informed consent from the parent of a toddler who is scheduled for a surgical procedure. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?

A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well- child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

A nurse is collecting data from an adolescent who has diabetes mellitus and is receiving glucagon therapy. Which of the following findings indicates the therapy has been effective?

A nurse is caring for a child who has acute glomerulonephritis. Which of the following manifestations should the nurse expect?

A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?

A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?