A child who weighs $10 \mathrm{~kg}$ will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The liquid preparation contains $40 \mathrm{mg}$ of TMP and $200 \mathrm{mg}$ of SMX per $5 \mathrm{~mL}$. The nurse determines that the child's dose should be $8 \mathrm{mg}$ of TMP and $40 \mathrm{mg}$ of SMX/kg/day divided into two doses. Which order for this child is correct?

Questions 46

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Questions on the Urinary System Questions

Question 1 of 5

A child who weighs $10 \mathrm{~kg}$ will begin taking oral trimethoprim-sulfamethoxazole (TMP-SMX). The liquid preparation contains $40 \mathrm{mg}$ of TMP and $200 \mathrm{mg}$ of SMX per $5 \mathrm{~mL}$. The nurse determines that the child's dose should be $8 \mathrm{mg}$ of TMP and $40 \mathrm{mg}$ of SMX/kg/day divided into two doses. Which order for this child is correct?

Correct Answer: A

Rationale: 5 mL BID delivers correct TMP/SMX dose for $10 \mathrm{~kg}$, matching calculation.

Question 2 of 5

The most common solid renal mass in adults is:

Correct Answer: C

Rationale: Renal cell carcinoma is the most frequent solid renal mass in adults.

Question 3 of 5

After teaching a client with bacterial cystitis who is prescribed phenazopyridine (Pyridium), the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?

Correct Answer: C

Rationale: Phenazopyridine turns urine orange, a normal effect clients should expect.

Question 4 of 5

A client has just had a central line catheter placed that is specific for hemodialysis. What is the most appropriate action by the nurse?

Correct Answer: D

Rationale: Heparin dwell prevents clotting in the dialysis catheter post-treatment.

Question 5 of 5

A nurse reviews these laboratory values of a client who returned from kidney transplantation 12 hours ago: Sodium 136 mEq/L, Potassium 5 mEq/L, Blood urea nitrogen (BUN) 44 mg/dL, Serum creatinine 2.5 mg/dL. What initial intervention would the nurse anticipate?

Correct Answer: C

Rationale: Elevated BUN and creatinine suggest rejection; more immunosuppression may help.

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