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Questions 149

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Extract:


Question 1 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.

Question 2 of 5

The nurse is caring for a client with a history of breast cancer who is receiving tamoxifen (Nolvadex). The nurse should instruct the client to report which of the following side effects?

Correct Answer: C

Rationale: vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer

Question 3 of 5

The nurse administers ciproflaxin to a client and then realizes that the client is allergic to the medication. What nursing action is the priority for this client?

Correct Answer: D

Rationale: Notifying the health care provider is the priority to initiate immediate management of a potential allergic reaction, followed by monitoring and reporting.

Question 4 of 5

Which of the following best describes the language of a 24-month-old?

Correct Answer: C

Rationale: A 24-month-old can verbalize needs using simple words or phrases, reflecting their developing language skills.

Question 5 of 5

The nurse is conducting a physical examination of a client's abdomen. Place the examination techniques listed below (Roman numerals) in the correct sequence, from first to last.

Order the Items

Source Container

Percussion
Palpation
Inspection
Auscultation

Correct Answer: C,D,A,B

Rationale: Abdominal exam sequence: Inspection (III) first, then auscultation (IV) before percussion (I) and palpation (II) to avoid altering bowel sounds.

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