The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.

Answer and Explanation

The Correct Answer is ["8"]

To calculate the dosage of diphenhydramine (Benadryl) for the child, we first determine the total milligrams needed per dose by multiplying the child's weight in kilograms by the prescribed milligrams per kilogram. The child weighs 20 kg, so the calculation is 20 kg * 5 mg/kg, which equals 100 mg per dose. The medication is supplied at a concentration of 12.5 mg per 5 ml. To find out how many milliliters are needed to provide 100 mg, we set up a proportion: 12.5 mg/5 ml = 100 mg/x ml. Solving for x gives us x = (100 mg * 5 ml) / 12.5 mg, which equals 40 ml. Therefore, the nurse will administer 40 milliliters of the medication for one dose.

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Correct Answer is B

Explanation

A. While fluid replacement is important, in a toxic-appearing child, oral fluids may not be safe or adequate due to potential dehydration and risk of worsening condition.

B. Administering antibiotics is the priority action because the child shows signs of potential serious infection, and timely antibiotic treatment is crucial in young infants who may quickly deteriorate.

C. Obtaining a specimen for a complete blood count is necessary for diagnosing infection but is not as urgent as administering antibiotics.

D. While obtaining a urinalysis may help identify a urinary tract infection, it is not the immediate priority compared to starting antibiotic therapy.

A. Weighing on the same scale each day B. Testing the urine for glucose levels regularly C. Increasing fluid intake by 50 ml per hour D. Ambulating 3 to 4 times a day E. Complete the course of prescribed antibiotics

Correct Answer is A

Explanation

A. Weighing the child daily on the same scale is critical for monitoring fluid retention and managing edema, which are primary concerns in nephrotic syndrome.

B. Testing urine for glucose levels is not a routine part of nephrotic syndrome management, as glucose levels are not typically affected by this condition.

C. Increasing fluid intake is not advisable in nephrotic syndrome if there is significant edema; fluid management must be tailored to the child's condition.

D. While ambulation is beneficial, it is not as critical as daily weight monitoring in managing nephrotic syndrome.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 2 month old child with a fever of 101.76. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?

Correct Answer is B

Explanation

In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Correct Answer is A

Explanation

A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?

A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?

A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by a parent would indicate a need for additional education?

A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating Which of the following responses should the nurse make?

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?

The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure

The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?