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:

Collecting a stool specimen for occult blood is not the most relevant test for suspected

Clostridium difficile infection. Stool culture or testing for C. difficile toxins is more appropriate.

Choice B reason:

Conducting a tape test is used to diagnose pinworms, not Clostridium difficile infection.

Choice C reason:

This statement is correct. Obtaining a stool specimen for culture, specifically for C. difficile, is the appropriate action for suspected infection.

Choice D reason:

Drawing a blood culture is not the primary diagnostic test for Clostridium difficile. Stool culture or testing for C. difficile toxins is more appropriate.

A. An adolescent who has pneumonia B. A preschooler who has tuberculosis C. A school-age child who has Haemophilus influenzae type B disease D. An infant who has respiratory syncytial virus

Correct Answer is B

Explanation

Choice A reason:

Pneumonia is typically transmitted through respiratory droplets, and standard precautions are sufficient for preventing its spread.

Choice B reason:

Correct. Tuberculosis (TB) is an infectious disease that requires contact precautions. This helps prevent the spread of Mycobacterium tuberculosis, the bacteria that cause TB.

Choice C reason:

Haemophilus influenzae type B disease is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient.

Choice D reason:

Respiratory syncytial virus (RSV) is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient. However, in some cases, droplet precautions may be recommended for infants and young children with severe RSV infections.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler whose guardian reports multiple episodes of diarrhea. The provider suspects Clostridium difficile. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a group of newly admitted pediatric clients.For which of the following clients should the nurse recommend initiating contact precautions?

Correct Answer is B

Explanation

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?

A nurse is planning to collect a stool specimen from an infant to check for the presence of ova and parasites. Which of the following actions should the nurse plan to take?

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?

A nurse in an urgent care clinic is caring for a school-age child who has injuries resulting from physical maltreatment. Which of the following actions should the nurse take first?

A nurse is preparing to administer a tube feeding to a child who has an NG tube. Which of the following actions should the nurse take?

A nurse is preparing to collect a blood specimen from a preschooler. Which of the following actions should the nurse take?

A nurse is caring for an adolescent who has a lower extremity fracture. Which of the following types of skin traction should the nurse expect the provider to prescribe?

A nurse is monitoring a 6-month-old infant 20 min after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?