A nurse is preparing to administer digoxin 12 mcg/kg/day PO to divide equally every 12 hr to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (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 ["3.6"]

To calculate the dosage of digoxin for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 66 pounds, which is approximately 30 kilograms (66 ÷ 2.2). The prescribed dose is 12 micrograms per kilogram per day, which equals 360 micrograms per day (12 mcg × 30 kg). Since the dose is divided every 12 hours, the child should receive 180 micrograms every 12 hours. The digoxin elixir is available at a concentration of 0.05 mg/mL, which is the same as 50 micrograms per milliliter. To find out how many milliliters to administer per dose, divide the dose in micrograms by the concentration: 180 mcg ÷ 50 mcg/mL equals 3.6 mL.

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Correct Answer is D

Explanation

A. Seizure precautions are necessary due to the risk of seizures in bacterial meningitis.

B. A private room is necessary to reduce the spread of infection to others.

C. Semi-Fowler's position helps reduce intracranial pressure and is appropriate in managing bacterial meningitis.

D. Measuring head circumference every shift is not typically required for a 6-year-old with bacterial meningitis, as it is more relevant in infants where rapid head growth could indicate increased intracranial pressure.

A. Provide a daily session with a play therapist. B. Discourage visits from the client's friends. C. Encourage the client to complete school work. D. Vary the child's schedule each day.

Correct Answer is C

Explanation

A. While play therapy can be beneficial, it is not the primary focus for a 10-year-old child’s psychosocial needs related to Erikson’s stage.

B. Encouraging visits from friends supports the child's need for social interaction, which is important for psychosocial development during hospitalization.

C. Encouraging the child to complete school work helps maintain a sense of normalcy and supports the child’s need for achievement and competence, which is central to Erikson’s stage of industry vs. inferiority.

D. Consistency is important, and varying the child's schedule may add stress rather than support their psychosocial needs.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?

Correct Answer is D

Explanation

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

Correct Answer is C

Explanation

A nurse is providing anticipatory guidance to new parents of an infant. Which information would be most important to stress with the parents to promote the infant's development of trust?

A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?

A nurse is caring for an infant whose guardian reports intermittent vomiting for several days. Findings upon admission: Exhibits Which of the following actions should the nurse take? (Select all that apply)

A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?

Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?

The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?