STUDY GUIDE CH 35

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A nurse is educating the parents how to administer daily oral medication to their 5-year-old boy. Which response indicates a need for further teaching?

"He needs to take his medicine or he will lose a privilege."

The child weighs 27 kg. Using the following formula, calculate how many milliliters of intravenous fluids should be administered to the child in a 24 hour period. Record your answer using a whole number

1640

The adolescent weighs 113 lb (51.36 kg). The nurse closely monitors the child's urine output. How many milliliters of urine is the least amount that the adolescent should make during an 8-hour shift? Record your answer using a whole number.

35

The adolescent weighs 113 lb (51.36 kg). The nurse closely monitors the child's urine output. How many milliliters of urine is the least amount that the adolescent should make during an 8-hour shift? Record your answer using a whole number.

411

The nurse is preparing to administer medication to a 10-year old who weighs 70 lb (32 kg). The prescribed single dose is 3 to 4 mg/kg/day. Which dose range is appropriate for this child?

96 to 128 mg

The nurse is caring for a child with an intravenous device in his hand. Which sign would alert the nurse that infiltration is occurring?

Cool, puffy skin

A nurse is preparing to administer an ordered IM injection to an infant. The nurse knows that the most appropriate injection site for this child is which muscle?

Vastus lateralis

The nurse is preparing to administer a medication via a syringe pump as ordered for a 2-month-old girl. Which is the priority nursing action?

Verify the medication order

The nurse is assessing the aspirate of a gavage feeding tube to confirm placement. Which assessment finding indicates intestinal placement?

Yellow aspirate

The nurse is caring for a 4-year old who requires a venipuncture. To prepare the child for the procedure, which explanation is most appropriate?

"The doctor will look at your blood to see why you are sick."

The nurse is preparing to remove an IV device from the arm of a 6-year-old girl. Which approach is best for minimizing fear and anxiety?

"The first step is for you to help me remove this dressing from your IV."

The nurse is educating the parents of a 5-month old how to administer an oral antibiotic. Which response indicates a need for further teaching?

"We can mix the antibiotics into his formula or food."

A nurse is caring for a child who requires intravenous maintenance fluid. The child weighs 30 kg. Which is the child's daily maintenance fluid requirement?

1,700 mL

The child weighs 47 lb (21.31 kg). How many kilograms does the child weigh? Record your answer using one decimal place.

21.4

Age affects how the medication is distributed throughout the body. Which factors affect how medication distribution is altered in infants and young children? Select all that apply.

A. Infants and young children have an increased percentage of water in their bodies. E. The livers of infants and young children are immature.


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