The nurse prepares to administer acetaminophen oral suspension to a child who
weighs 66 pounds. The prescription reads: Administer 15 mg/kg every 6
... [Show More] hours by
mouth. The Tylenol is available 150 mg/5 ml. Which is the correct dosage
indicated on the image?
A.30ml
B.15ml
C.10ml
D.5ml (correct Answer- B Rationale:
66 lb/(2.2 kg/lb) = 30 kg
30 kg × (15 mg/kg) = 450 mg (5
mL/150 mg) × 450 mg = 15 mL or
(450 mg/150 mg) × 5 mL = 15 mL
When assessing the laboratory findings of a 38-year-old client with tuberculosis
who is taking rifampin (Rifadin), which laboratory finding would be most
important to report to the primary health care provider immediately?
A.Orange-colored urine
B.Potassium level, 4.9 mEq/L
C.Elevated liver enzyme levels
D.Blood urea nitrogen (BUN) level, 12 mg/dL (correct Answer- C Rationale:
Rifampin can cause hepatoxicity, so elevated liver enzyme levels need to be
closely monitored and reported to the health care provider (C). Orange
discoloration of the urine is an expected side effect of this medication (A). The
potassium level (B) is normal. A BUN level of 12 mg/dL is within defined
parameters (D).
A client is receiving propylthiouracil (PTU) prior to thyroid surgery. Which
diagnostic test results indicate that the medication is producing the desired effect?
A.Increased hemoglobin and hematocrit levels
B.Increased serum calcium level
C.Decreased white blood cell (WBC) count
D.Decreased triiodothyronine (T3) and thyroxine (T4) levels (correct Answer- D
Rationale:
Propylthiouracil (PTU) is an adjunct therapy used to control hyperthyroidism by
inhibiting the production of thyroid hormones (D). It is often prescribed in
preparation for thyroidectomy or radioactive iodine therapy. It is does not affect
(A). (B) must be monitored after surgery in case the parathyroid glands were
removed, but preoperative PTU does not increase the serum calcium level. If the
client has an infection preoperatively, antibiotics will be given and (C) monitored.
The nurse teaches a class on bioterrorism. Which method(s) of transmission is(are)
possible with the biologic agent Bacillus anthracis (Anthrax)? (Select all that
apply.)
A.Inhalation of powder form
B.Handling of infected animals
C.Spread from person to person through coughing
D.Eating undercooked meat from infected animals
E.Direct cutaneous contact with the powder (correct Answer- A,B,D,E Rationale:
Anthrax can be transmitted by the inhalation, cutaneous, and digestive routes (A,
B, D, and E); however, the disease is not spread from person to person (C).
The nurse assesses a woman in the emergency room who is in her third trimester of
pregnancy. Which finding(s) is(are) indicative of abruptio placentae? (Select all
that apply.)
A.Dark red vaginal bleeding
B.Rigid boardlike abdomen
C.Soft abdomen on palpation
D.Complaints of severe abdominal pain
E.Painless bright red vaginal bleeding (correct Answer- A,B,D Rationale:
These are all signs of abruptio placentae (A, B, and D). The others are signs of
placenta previa (C and E).
Which vital sign in a pediatric client is most important to report to the primary
health care provider?
A.Newborn with a heart rate of 140 beats/min
B.Three-year-old with a respiratory rate of 28 breaths/min
C.Six-year-old with a heart rate of 130 beats/min
D.Twelve-year-old with a respiratory rate of 16 breaths/min (correct Answer- C
Rationale:
The normal heart rate for a 6- to 10-year-old is 70 to 110 beats/min (C). The others
are all within normal range for those ages (A, B, and D). [Show Less]