Which nursing intervention is most critical during the administration of acyclovir?

Utilize an incentive spirometer

Encourage a high-carbohydrate diet

Limit the client's activity

Encourage fluids

Answer and Explanation

The Correct Answer is D

A.   While using an incentive spirometer is important in promoting lung expansion and preventing respiratory complications, it is not directly related to the administration of acyclovir. This intervention is typically more relevant for patients at risk of respiratory issues.
B.   A high-carbohydrate diet is not a specific recommendation related to acyclovir administration. While nutrition is important for overall health, this intervention does not address the key concerns associated with the use of acyclovir.
C.   While activity levels may need to be monitored based on the patient's overall condition, limiting activity is not a primary concern with acyclovir. The medication itself does not usually require significant restrictions on physical activity unless the patient has other conditions that warrant it.
D.   Acyclovir can be nephrotoxic, especially when given intravenously, and maintaining adequate hydration helps prevent kidney damage. Encouraging fluids ensures that the kidneys can effectively excrete the medication and reduces the risk of crystallization in the renal tubules.

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Correct Answer is A

Explanation

A. This is a strong indicator of effectiveness. Both antacids and PPIs aim to reduce gastric acidity, which alleviates symptoms such as heartburn, regurgitation, and discomfort. A decrease in gastric distress suggests that the medications are successfully managing the symptoms of GERD.
B. Amylase is an enzyme primarily related to carbohydrate digestion, and its levels are not directly related to GERD or the effectiveness of antacids and PPIs. Normalizing amylase levels would not indicate the effectiveness of treatment for GERD, making this option irrelevant in this context.
C. While a decrease in vomiting may indicate an improvement in GERD symptoms, it is not the primary focus of treatment with antacids and PPIs. GERD primarily involves symptoms like heartburn and acid reflux rather than vomiting. However, if vomiting was due to severe reflux, improvement might indicate effectiveness.
D. Gastric motility refers to the movement of food through the gastrointestinal tract. While normal gastric motility can be beneficial, antacids and PPIs do not primarily aim to increase motility; their focus is on reducing acidity and managing reflux symptoms.

Correct Answer is ["4.5"]

Explanation

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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Which nursing intervention is most critical during the administration of acyclovir?

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Naxlex Comprehensive Predictor Exams

The nurse has administered an antacid and a proton pump inhibitor for GERD. Which data would indicate to the nurse that the medications are effective?

Correct Answer is A

Explanation

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.

Correct Answer is ["4.5"]

Explanation

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Which nursing intervention is most critical during the administration of acyclovir?