Order: Fluconazole (Diflucan) 5 mg/kg p.o. every day.
The label on the bottle reads "50 mg/tablet." Calculate how many capsules you should administer for a child who weighs 44 pounds.
The Correct Answer is ["2"]
To calculate the dose of fluconazole for a child who weighs 44 pounds, you need to convert the weight to kilograms and the dose to milligrams.
One kilogram is equal to 2.2 pounds, so 44 pounds is 44 / 2.2 = 20 kilograms.
The dose of fluconazole is 5 mg/kg, so 5 mg x 20 kg = 100 mg.
The label on the bottle says that each tablet contains 50 mg of fluconazole, so you need to divide the dose by the tablet strength to get the number of tablets. 100 mg / 50 mg = 2 tablets.
Therefore, you should administer two tablets of fluconazole once a day for this child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "It will help your baby gain weight faster."
This statement is not accurate. Caffeine citrate is not given to help with weight gain; its primary use is to stimulate the respiratory center in preterm infants and improve breathing.
B. "Caffeine can help your baby breathe better."
This is the correct response. Caffeine citrate is commonly used in premature infants to stimulate the respiratory center, leading to improved breathing. It is a standard treatment to reduce the risk of apnea of prematurity.
C. "This isn't the same substance that is in coffee."
While caffeine citrate is derived from caffeine, this statement might be confusing and does not directly address the specific benefits of caffeine citrate for preterm infants.
D. "The baby's temperature will be warmer with caffeine."
This statement is not accurate. Caffeine citrate is not used to affect the baby's temperature; its primary effect is on the respiratory system.
Correct Answer is ["A","B","E"]
Explanation
A. Avoiding hot, spicy foods
Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.
B. Avoiding tobacco products
Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.
C. Drinking a glass of red wine with dinner
While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.
D. Eating a snack before bedtime
Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.
E. Using a small pillow for sleeping
Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.
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