Update Questions And Answers
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,A three-month old boy weighing 10 lbs 15 oz
has an axillary temperature of 98.9° F. The
nurse determines the daily caloric need for this
child is approximately
400 calories per day.
500 calories per day.
600 calories per day.
700 calories per day. - ANSWER-600 calories
per day.
Rationale: 10 lbs 15 oz = 10.9 lbs. Convert lbs to
kg by dividing pounds by 2.2; 10.9/2.2 = 4.954
kg, rounded to 5 kg. An infant requires 108
calories/kg/day (108 × 5 = 540 calories/day).
However, this infant requires 10% more
calories because he has one degree
temperature elevation. 10% of 540 is 54 and
540 + 54 = 594. This infant will require
approximately 600 calories/day. Tough
,question! You know that 400 calories are too
few and 700 are too much, and a temperature
elevation necessitates consumption of more
calories, so choose the higher of the two
choices left!
A female teenager is taking oral tetracycline
HCL (Achromycin V) for acne vulgaris. What is
the most important instruction for the nurse to
include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. -
ANSWER-Use sunscreen when lying by the pool.
Rationale: Photosensitivity is a common side
effect of tetracycline HCL (Achromycin V)
, therapy. Severe sunburn can occur with
minimal sun exposure and clients should be
instructed to avoid sunlight and to use
sunscreen (A). (B and D) are not related to
tetracycline HCL (Achromycin V) therapy. (C)
should be avoided because dairy products
interfere with the absorption of tetracyclines.
What preoperative nursing intervention should
be included in the plan of care for an infant
with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - ANSWER-
Observe for projectile vomiting.