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Questions 149

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Question 1 of 5

A 6-year-old with cerebral palsy functions at the level of an 18-month-old. Which finding would support that assessment?

Correct Answer: B

Rationale: Pulling a toy is consistent with an 18-month-old's developmental level, supporting the assessment.

Question 2 of 5

The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

Correct Answer: B

Rationale: A plaster-of-Paris cast is typically used to stabilize foot fractures, ensuring proper alignment and healing.

Question 3 of 5

The graduate nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority?

Correct Answer: A

Rationale: Adequate blood pressure ensures organ perfusion for donation.

Question 4 of 5

The physician has ordered intravenous fluid with potassium for a client admitted with gastroenteritis and dehydration. Before adding potassium to the intravenous fluid, the nurse should:

Correct Answer: A

Rationale: Adequate urinary output (at least 30 mL/hr) must be confirmed before adding potassium to IV fluids to prevent hyperkalemia.

Question 5 of 5

A child who weighs 40 kg is prescribed clarithromycin 15 mg/kg per day for 10 days in two divided doses for acute strep throat. If the medication is provided in suspension with 250 mg/5 mL, how many total milliliters of medication are required to complete the treatment? Record your answer using a whole number.

Correct Answer: 120

Rationale: Daily dose = 15 mg/kg X 40 kg = 600 mg/day. For 10 days, total dose = 600 X 10 = 6,000 mg. Suspension is 250 mg/5 mL, so 1 mg = 0.02 mL. Thus, 6,000 mg X 0.02 mL/mg = 120 mL.

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