The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

Answer and Explanation

The Correct Answer is ["4.5"]

1 kilogram equals 2.2 pounds. The child weighs 20 pounds, which is approximately 9.09 kilograms (20 / 2.2).

The dosage prescribed is 10 mg/kg, so the child's dose is 90.9 mg (10 mg/kg * 9.09 kg).

Since the available medication concentration is 100 mg/5 mL, divide the dose needed by the concentration to find the volume to administer: 90.9 mg * (5 mL / 100 mg) equals 4.545 mL.

Rounded to the nearest tenth, the nurse should administer 4.5 mL of ibuprofen.

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

Explanation

A. Trauma to the eye can lead to retinal detachment. Understanding any history of eye injuries is crucial for assessing the likelihood of detachment.
B. Lifting heavy objects can increase intraocular pressure, which may contribute to retinal detachment, particularly in individuals with existing vulnerabilities. This question is relevant for assessing risk factors.
C. While sodium intake is important for general health, it is not directly related to the risk of retinal detachment. This question is not relevant in this context.
D. This statement is somewhat correct but less directly relevant. While protecting the eyes from UV light is important for overall eye health and can help prevent conditions that might lead to retinal issues, it is not a primary factor associated with retinal detachment.
E. Long-term use of steroids can increase the risk of retinal detachment, particularly in patients with certain conditions (like high myopia). This question is important for identifying potential risk factors.

A. Any known allergies to drugs or environmental factors. B. Poor oral hygiene. C. Dietary history indicating ingestion of sugary foods D. Use of non-steroidal anti-inflammatory drugs (NSAID's).

Correct Answer is D

Explanation

A. While allergies can impact a patient's overall health, they are not directly related to the development of peptic ulcer disease. Allergies do not contribute to the mechanisms that cause ulcers, such as increased stomach acid or mucosal damage.
B. Poor oral hygiene can lead to dental problems and infections, but it is not a recognized risk factor for peptic ulcer disease. The main causes of peptic ulcers are related to factors that affect the stomach lining, such as certain medications, lifestyle choices, and infections.
C. While diet can influence gastrointestinal health, sugary foods are not a primary risk factor for peptic ulcers. The role of sugar in ulcer development is not well established compared to other factors, such as the use of certain medications or the presence of H. pylori infection.
D. This statement is correct and is a significant risk factor for developing peptic ulcer disease. NSAIDs can cause irritation of the stomach lining and inhibit the production of protective mucus, leading to ulcer formation. Chronic use of NSAIDs is one of the most common causes of peptic ulcers.

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The primary care provider has ordered ibuprofen 10 mg/kg every 8 hours as needed for fever. The child weighs 20 pounds. Available is 100 mg/5 milliliters (mL). How many mLs of ibuprofen should the nurse administer? Round to the nearest tenth.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has suspected retinal detachment. Which of the following questions should the nurse include when gathering a client history? (Select All that Apply.)

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

Explanation

The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Correct Answer is D

Explanation

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