Ch 45 Pediatric Medication Administration and Calculations

Atropine Sulfate, 0.6 mg intramuscularly, is prescribed for a child preoperatively. The nurse has determined that the dose prescribed is safe and prepares to administer how many milliliters to the child? *Fill in the blank*. 0.4 mg per mL

1.5 mL

the nurse is providing medication instructions to a parent. Which statement by the parent indicates a *need for further instruction*? 1. "I should cuddle my child after giving the medication." 2. "I can give my child a frozen juice bar after he swallows the medication." 3. "I should mix the medication in the baby food and give it when I feed my child." 4. "If my child does not like the taste of the medication, I should encourage him to pinch his nose and drink the medication through a straw."

3. "I should mix the medication in the baby food and give it to when I feed my child." Rationale: The nurse would teach the parents to avoid putting medications in Foods because it may give an unpleasant taste to the food, and the child May refuse to accept the same food in the future. In addition, the child may not consume the entire serving I would not receive the required medication dosage. The mother should provide Comfort measures immediately after medication administration, such as touching, holding, cuddling, and providing a favorite toy. The mother should offer juice, a soft drink, or a frozen juice bar to the child after the child follows the medication. If it tastes of the medication is unpleasant, the child should pinch the nose and drink the medication through a straw.

Sulfisoxazole, 1 g orally twice daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads "500-mg tablets." The nurse has determined that the dosage prescribed this safe. The nurse administers how many tablets per dose to the adolescent? 1. 0.5 tablets 2. 1 tablets 3. 2 tablets 4. 3 tablets

3. 2 tablets

A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin. The dosage is 8 mcg/kg/day, and the client's weight is 7.2 kg. The healthcare provider prescribes the digoxin to be given twice daily. The nurse prepares how many mcg of digoxin to administer to the client at each dose? 1. 12.6 mcg 2. 21.4 mcg 3. 28.8 mcg 4. 32.2 mcg

3. 28.8 mcg

A health care provider's prescription reads "ampicillin sodium 125 mg IV every 6 hours." The medication label reads " when reconstituted with 7.4 mL of bacteriostatic water, the final concentration is 1g/ 7.4 ml." The nurse prepares to draw how many milliliters to administer one dose? 1. 1.1 mL 2. 0.54 mL 3. 7.424 mL 4. 0.925 mL

4. 0.925 mL

Penicillin G procaine, 1,000,000 units IM (intramuscularly), is prescribed for a child with an infection. The medication label reads "1,200,000 units per 2 mL." The nurse has determined that the dose prescribed is safe. The nurse administers how many milliliters per dose to the child? 1. 0.8 mL 2. 1.2 mL 3. 1.4 mL 4. 1.7 mL

4. 1.7 mL

The nurse prepares to administer an intramuscular injection to a four month old infant. The nurse selects which *best* site to administer the injection? 1. Ventrogluteal 2. Lateral deltoid 3. Rectus femoris 4. Vastus lateralis

4. Vastus lateralis Rationale: intramuscular injection sites are selected on the basis of the child's age and muscle development of the child. The vastus lateralis is the only safe muscle group to use for intramuscular injection in a four month old infant. The sites identified in options one, two, and three are unsafe for a child of this age.