An 18 month-old weighing 22 pounds is admitted to the pediatric unit with a diagnosis of dehydration. A
replacement bolus of normal saline at 20 mL/kg is ordered to be administered intravenously over 40
minutes.
In mL
...
An 18 month-old weighing 22 pounds is admitted to the pediatric unit with a diagnosis of dehydration. A
replacement bolus of normal saline at 20 mL/kg is ordered to be administered intravenously over 40
minutes.
In mL/hour, what will be the setting for the IV delivery system? Correct Answer-300
Using ratio proportion:First, convert 22 pounds to kilograms (22/2.2) = 10 kg20 mL/kg = 20 x 10 kg = 200
mL200 mL/40 minutes = x mL/60 minutes (in an hour)200 x 60 = 12000/40 = 300 mL/hrUsing
dimensional analysis:20 mL/kg x 1 kg/2.2 lb x 22 lb x 60 min/hr x 1/40 min = 300 mL/hr
The mother of a 2 month-old baby calls a pediatrician's nurse two days after the first DTaP, inactivated
polio vaccine (IPV), Hepatitis B and Haemophilus influenzae type B (HIB) immunizations. She reports that
the baby feels very warm, cries inconsolably for as long as three hours, and has had several shaking
spells. Which immunization would the nurse expect to be primarily responsible with these findings?
A. DTaP
B. IPV
C. Hepatitis B
D. HIB Correct Answer-A
DTaP immunization is a vaccine that protects against diptheria, tetanus and pertussis (whooping cough).
The majority of reactions described in this question occur with the administration of the DTaP
vaccination. Contraindications to giving repeat DTaP immunizations include the occurrence of severe
side effects after a previous dose, as well as signs of encephalopathy within seven days of the
immunization.
A client diagnosed with angina has been instructed about the use of sublingual nitroglycerin. Which
statement made by the client is incorrect and indicates a need for further teaching?
A. "I'll call the health care provider if pain continues after three tablets five minutes apart."
B. "I will rest briefly right after taking one tablet."
C. "I understand that the medication should be kept in the dark bottle."
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