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Questions 149

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Question 1 of 5

A 9-year-old child weighing 40 kilograms has an order for piperacillin (Pipracil) via IV infusion. The recommended daily dose for this medication is 240-300 mg/kg/day IV div. q8h. What is the maximum daily dose of piperacillin this client can receive per day? Calculate and fill in the blank.

Correct Answer: 12,000 mg

Rationale: Maximum dose: 300 mg/kg/day × 40 kg = 12,000 mg/day.

Question 2 of 5

The nurse is conducting an aphasia assessment of a client who has suffered a stroke. Which of the following observations should the nurse include in the assessment? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Aphasia assessment post-stroke includes evaluating spontaneous speech (
A), comprehension (
B), naming objects (
C), describing objects (
D), and writing (E). Memory recall (F) is not specific to aphasia.

Question 3 of 5

The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

Correct Answer: C

Rationale: Sundowning is a common phenomenon in dementia where confusion worsens in the late afternoon and evening.

Question 4 of 5

The nurse is caring for the client with a 5-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

Correct Answer: B

Rationale: Stained-glass work often involves lead, increasing the risk of lead poisoning (plumbism).

Question 5 of 5

Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?

Correct Answer: A

Rationale: Regular cleaning of the hearing aid mold prevents wax buildup and ensures proper function.

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