The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?

VS at 0900: T-37.3, P-102, R-20

1400: Basketball practice, dizzy, no loss of consciousness, no caffeine today.

Electrodes on upper left and right chest and lower left rib area.

Breakfast: Eggs and Toast, Lunch: Chicken Noodle Soup, Dinner: Chicken nuggets and fries.

Answer and Explanation

The Correct Answer is B

A. This entry only provides vital signs and lacks context regarding the patient's activities or symptoms.
B. This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.
C. This entry describes the electrode placement but does not provide any information on activities or symptoms.
D. This entry details the patient's meals but does not include any information on activities or symptoms related to the Holter monitoring.

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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. Prolonged seizure B. Decreased level of consciousness C. Low grade fever D. Fussiness and crying

Correct Answer is ["A","B"]

Explanation

A. Prolonged seizures are a serious reaction and require immediate medical attention.
B. Decreased level of consciousness is a serious reaction and requires immediate medical attention.
C. Low grade fever is a common and mild reaction to vaccines.
D. Fussiness and crying are common and mild reactions to vaccines.
E. Redness at the site is a common and mild reaction to vaccines.

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The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?

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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

The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY

Correct Answer is ["A","B"]

Explanation

The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?

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A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?

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