The nurse is caring for a 3-year-old weighing 14 kg who has been ordered Amoxicillin 175 mg PO q 8 hrs for a recurrent ear infection. The safe dose is 20-40 mg/kg/day. Is this a safe dose?
True
False
The Correct Answer is A
Choice A reason: This is correct because the ordered dose of Amoxicillin is within the safe range for a 3-year-old weighing 14 kg. The daily dose of Amoxicillin is 175 mg x 3 = 525 mg. The safe dose range for a 14 kg child is 20-40 mg/kg/day, which is 280-560 mg/day. Therefore, the ordered dose is safe.
Choice B reason: This is incorrect because the ordered dose of Amoxicillin is not above the safe range for a 3-year-old weighing 14 kg. It is not necessary to reduce the dose or report it to the prescriber.
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Correct Answer is C
Explanation
Choice A reason: Having a decongestant available to give the child when an attack occurs is not a correct answer because decongestants are not recommended for children under 6 years old. They can cause side effects such as increased heart rate, irritability, and insomnia.
Choice B reason: Having the child sleep in a dry room is not a correct answer because dry air can worsen the inflammation and swelling of the airway. Moist air can help soothe the throat and reduce the coughing.
Choice C reason: Keeping the child's room humidified is the correct answer because humidified air can help loosen the mucus and ease the breathing. A cool-mist humidifier or a steamy bathroom can provide humidification.
Choice D reason: Giving the child an antibiotic at bedtime is not a correct answer because antibiotics are not effective for croup, which is usually caused by a virus. Antibiotics can also cause adverse reactions such as rash, diarrhea, and allergic reactions.
Correct Answer is B
Explanation
Choice A: True - While it is true that a significant proportion of prisoners have experienced abuse in their childhood, the statement that over half of all violent offenders in prison were physically or sexually abused as children is not accurate according to available data¹²³.
Choice B: False - This is the correct answer. According to a report by the Ministry of Justice in the UK, a large number of prisoners have experienced adverse childhood experiences, but the percentage does not exceed half¹. Similarly, a survey of men in Her Majesty's Prison Parc in South Wales found that more than 8 in 10 had experienced at least one adverse childhood experience, but this includes a range of experiences beyond physical and sexual abuse². Furthermore, data from the U.S. indicates that less than 20% of state prison inmates reported experiencing abuse before the age of 18³.
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