NR 328 Pediatric Pharmacology quiz 2 with
100% Correct Solutions
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.
Which client needs a correction in the nursing intervention? (chart view) -
✔✔client 2 (9 year old should only receive analgesics when pain intensifies)
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
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."
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 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
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 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
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
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