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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 preparing to discharge a client diagnosed with gout. Which statement by the client indicates understanding of dietary restrictions while managing gout?

Correct Answer: A

Rationale: Beer, anchovies, and liver are high in purines, which can exacerbate gout, making avoidance appropriate.

Question 3 of 5

Physician's orders for a client with acute pancreatitis include the following: strict NPO and nasogastric tube to low intermittent suction. The nurse recognizes that witholding oral intake will:

Correct Answer: A

Rationale: Withholding oral intake (NPO) reduces stimulation of the pancreas, thereby decreasing the secretion of pancreatic enzymes that can exacerbate pancreatitis.

Question 4 of 5

The first exercise that should be performed by the client who had a mastectomy 1 day earlier is:

Correct Answer: D

Rationale: Squeezing a ball is a gentle initial exercise to restore arm mobility.

Question 5 of 5

Twenty micrograms (g) are equal to how many milligrams? Record your answer using a decimal number.

Correct Answer: 0.02

Rationale: 1 mg = 1,000 g, so 20 /1,000 = 0.02 mg.

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