NR 328 Pediatric Pharmacology quiz 2

A 6-year-old child with a body surface area (BSA) of 0.36 m2 has been prescribed amoxicillin. The adult dose of amoxicillin is 500 mg. Calculate the dose for the child. Record your answer using a whole number. __________ mg

180 mg

A nurse is monitoring a 6-year-old child for toxicity precipitated by digoxin. For what sign of digoxin toxicity will the nurse assess the child?

vomiting

If midazolam was given at a dose of 0.40 mg for a pediatric client undergoing surgery, what would be the lowest acceptable dosage of midazolam (in mg) when given along with IV morphine? When midazolam is given along with an opioid, the dose should be reduced by 30% to 50%. Include a leading zero if applicable, and record your answer to two decimal places. ____mg

0.2

What strategies should the nurse apply during vaccination to reduce pain and anxiety? Select all that apply.

Applying a topical anesthetic Injecting the most painful vaccine last Holding the child upright during the vaccination Administering intramuscular injections rapidly without prior aspiration

A parent of three young children has contracted tuberculosis. Which does the nurse expect the healthcare provider to prescribe for members of the family who have a positive reaction to the tuberculin skin test and are candidates for treatment?

Isoniazid

A nurse counsels an infant's mother about drug dosage. Which statement indicates the need for further counseling?

i should not re-administer any spilled drugs to avoid over compensation

An intravenous (IV) line is inserted in the scalp vein of an infant. The mother asks why the IV is not placed in the hand or arm as for an adult. How should the nurse respond?

"Usually veins in the arm or hand are used, but your baby's were too small."

An infant is to receive an intravenous antibiotic as a piggyback. The prescription is 10 mg/kg body weight/24 hr, to be divided into two equal doses and administered every 12 hours. The infant weighs 22 lb (10 kg). How many milligrams of the antibiotic should the infant receive per dose? Record your answer as a whole number. ___ mg

50

A nurse is assessing the status of a school-aged child with leukemia who is receiving vincristine. What laboratory test result alerts the nurse that fluid intake should be increased?

Blood uric acid level of 7.5

A child who has been undergoing prolonged steroid therapy takes on a cushingoid appearance. What will the nursing assessment probably reveal? Select all that apply.

truncal obesity and thin extremities

Which immunization protocol should be followed by a nurse administering a hepatitis B vaccine to an infant whose mother is diagnosed HBsAg-positive during pregnancy?

Hepatitis B immune globulin 0.5 mL is given along with the first dose of recombivax HB.

A platelet transfusion is to be administered to a child with acute lymphocytic leukemia. What will the nurse do first?

Administer the platelets rapidly through the intravenous (IV) line

A senior nurse educates a nursing student about measures to reduce vaccine-related pain in children. Which statement by a nursing student indicates a need for further teaching?

"I should give antipyretics to the child."

What will a nurse teach the parents of a toddler with newly diagnosed cystic fibrosis about the administration of vitamins A, D, E, and K?

Offer them in a water-miscible form.

Which client needs a correction in the nursing intervention? (chart view)

client 2 (9 year old should only receive analgesics when pain intensifies)

A preschooler is to have a peripheral intravenous catheter inserted. How can the nurse make the experience minimally traumatic for the child?

By applying a topical analgesic before the procedure

Penicillin G and probenecid are prescribed for an adolescent who has syphilis. The adolescent asks the nurse why two medicines are needed. What should the nurse explain about the rationale for this combination therapy?

probenecid delays excretion of penicillin g so the blood level stays stable longer

Which nursing care interventions are beneficial for medication administration in toddlers? Select all that apply.

Providing comfort measures to the child Helping the child understand the treatment Holding the child securely while administering the med Accepting aggressive behavior as a healthy response to medication administration

A senior nurse teaches a nursing student about how to treat poisoning in young children. Which statement by the nursing student indicates the need for further teaching?

"Syrup of ipecac should be administered immediately after poisoning."

The nurse is caring for a child with Reye syndrome. Which interventions should be included in the care plan of the child? Select all that apply.

Monitoring seizure activity Educating the parents about Reye syndrome Monitoring the blood gas concentration and intracranial pressure

The nurse is teaching an adolescent with type 1 diabetes who is prescribed a combination of regular insulin and an intermediate-acting insulin to be administered in the morning and throughout the day. The nurse asks the adolescent at what time of day the second dose of NPH insulin should be administered. Which response by the adolescent demonstrates the teaching has been effective?

at dinner time

A neonate diagnosed with congestive heart failure has been prescribed furosemide. What changes to the dosage or time intervals between doses should be made?

the time between doses should be lengthened

Which nursing interventions may promote safe drug administration in a child diagnosed with heart failure who is receiving digoxin? Select all that apply.

-Checking for compliance with the client's drug regimen -Monitoring the client's serum potassium and magnesium levels regularly -Calculating the correct dosage form, prescribed amounts, and the prescriber's order -Monitoring and recording the client's intake and output, heart rate, blood pressure, daily weight, and respiration rate regularly

An 18-month-old toddler who stepped on a rusty nail 4 days ago shows signs of generalized tetanus, including neck and jaw stiffness and facial muscle spasms. The toddler is receiving intravenous diazepam as a muscle relaxant every 4 hours. What response to the medication does the nurse anticipate?

Control of hypertonicity and prevention of seizures

The nurse is caring for a child with Reye syndrome. Which nursing interventions would be beneficial to the child? Select all that apply.

Maintain the head and neck in a neutral position. Assess the vital signs of the child. Monitor the child for seizure activity. Provide a quiet environment for the child.