An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

Hallucinations

Paranoia

Drowsiness

Increased Hunger

Tachycardia

Hypertension

Answer and Explanation

Correct Answer : A,B,E,F

A. Hallucinations can occur as a result of methylphenidate overdose.
B. Paranoia is a possible psychological effect of a stimulant overdose.
C. Drowsiness is not typical; stimulant overdose usually causes increased alertness and agitation.
D. Increased hunger is not associated with stimulant overdose; appetite suppression is more common.
E. Tachycardia is a common cardiovascular effect of stimulant overdose.
F. Hypertension can occur due to the increased stimulant effect on the cardiovascular system.

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Correct Answer is ["0.4"]

Explanation

To calculate the daily maintenance dose of digoxin for the infant, we first convert the ordered amount from micrograms to milligrams: 4 mcg/kg/day is equivalent to 0.004 mg/kg/day. For an infant weighing 5 kg, the daily dose would be 0.004 mg/kg/day * 5 kg = 0.02 mg/day. Now, using the concentration provided on the label, which is 0.25 mg/5 mL, we can find out how many milliliters would equate to the required daily dose. This is done by setting up a proportion: (0.25 mg / 5 mL) = (0.02 mg / X mL). Solving for X gives us X = (0.02 mg * 5 mL) / 0.25 mg, which equals 0.4 mL.

A. HIB B. IPV C. Varicella D. DTaP

Correct Answer is C

Explanation

A. HIB (Haemophilus influenzae type b) vaccine is an inactivated vaccine and can be given to immunocompromised children.
B. IPV (Inactivated Poliovirus Vaccine) is also an inactivated vaccine and can be given to immunocompromised children.
C. Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection in these individuals.
D. DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is an inactivated vaccine and can be administered to immunocompromised children.

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An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to administer the daily maintenance dose of digoxin to an infant: Infant's Weight: 5kg Order: Administer 4mcg/kg/day Safe Dose: 3.4 to 5.1 mcg/kg/day Label: 0.25 mg/5mL

Correct Answer is ["0.4"]

Explanation

A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

Correct Answer is C

Explanation

The nurse must administer the following antibiotic via syringe pump. (SEE IMAGE). The infusion is to run over 90 minutes. The nurse calculates the infusion rate and sets the pump for the following rate

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