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Question 1 of 5

A 2 year-old child is being treated with Amoxicillin suspension, 200 milligrams per dose, for acute otitis media. The child weighs 30 lb (15 kg) and the daily dose range is 20-40 mg/kg of body weight, in three divided doses every 8 hours. Using principles of safe drug administration, what should the nurse do next?

Correct Answer: A

Rationale: Give the medication as ordered. The prescribed dose (200 mg) is within the safe range of 20-40 mg/kg/day for a 15 kg child.

Question 2 of 5

Order: Nitroglycerine 50 mg in 250 mL normal saline, infuse at 10 mcg/min. Calculate the rate in mL/h.

Correct Answer: B

Rationale: 50 mg = 50,000 mcg. 250 mL ÷ 50,000 mcg = 0.005 mL/mcg. 10 mcg/min × 0.005 mL/mcg × 60 min/h = 3 mL/h. Other options are incorrect.

Question 3 of 5

The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?

Correct Answer: D

Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.

Question 4 of 5

The nurse is assessing a client with suspected anaphylaxis. Which of the following findings would require immediate intervention?

Correct Answer: B

Rationale: Wheezing and stridor indicate airway obstruction in anaphylaxis, a life-threatening emergency requiring immediate intervention (e.g., epinephrine). Rash (
A), itching (
C), and nausea (
D) are less urgent but still require monitoring.

Question 5 of 5

The nurse is assessing a client with a history of asthma who presents with wheezing and shortness of breath. The nurse should prioritize which of the following actions?

Correct Answer: A

Rationale: Wheezing and shortness of breath in asthma indicate bronchoconstriction, and administering a bronchodilator (e.g., albuterol) as ordered is the priority to relieve airway obstruction. Supine positioning (
B) worsens breathing, X-rays (
C) are diagnostic, and deep breathing (
D) is secondary.

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