The nurse is preparing a medication for a child weighing 66 lbs. The order reads: Clarithromycin (Biaxin) 7.5 mg/kg q 12 hours oral suspension. The medication available is 250 mg/5 ml

How many ml of the medication will the nurse provide for each dose? 1. 2.3 mL
2. 2.8 mL
3. 3.6 mL
4. 4.5 mL


4

Rationale 1: mL/dose = 5 mL/250 mg x 7.5 mg/1 kg x 1 kg/2.2 lbs x 66 lbs/1 dose. Multiply the numerators and then divide by the denominators. The client will receive 4.5 mL/ dose.

Nursing

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A client admitted for evaluation of gastroesophageal reflux disease (GERD) begins to complain of severe "heartburn" in the chest that radiates to the jaw. The client asks for the nitroglycerin (NTG) tablets brought in from home

The nurse realizes that the clinical manifestations demonstrated by the client are a. classic manifestations of a myocardial infarction, and the physician should be paged immediately. b. greatly influenced by fear related to the location of the pain, and the use of NTG should be discouraged. c. indications that a thorough pain assessment should be done to determine the etiology of the pain, and the NTG should be given at once. d. specifically associated with GERD and not myocardial infarction, but the NTG should be allowed if the client wants to use it.

Nursing

The nurse notes that the client returning to the unit after having a hemicolectomy with a temporary colostomy placement has no colostomy pouch over the newly created stoma. What would be the nurse's best action?

A. Leave the stoma open to air for 24 hours. B. Place a dry sterile dressing over the stoma. C. Place a stent in the opening to keep it patent. D. Place petrolatum gauze dressing over the stoma.

Nursing

A 4-year-old child has been diagnosed with congestive heart failure because of an opening in the atrium that occurred before birth. The nurse realizes this client is experiencing:

1. Ventricular septal defect. 2. Pulmonary atresia. 3. Atrial septal defect. 4. Complete atrioventricular canal.

Nursing

The nurse is working with a family that has just delivered their third child, at 33 weeks' gestation. The mother tells the nurse, "This baby doesn't turn his head and suck like the older two children did. Why?" The best response by the nurse is:

1. "Every baby is different. This is just one variation of normal that we see on a regular basis." 2. "This baby might not have a rooting or sucking reflex because she is premature." 3. "When she is wide awake and alert, she will probably root and suck even if she is early." 4. "She may be too tired from the birthing process and need a couple days to recover."

Nursing