A client is prescribed Methylprednisolone 25mg IV every 6 hours.

The vial (after reconstitution) reads Methylprednisolone 80mg/mL. How many milliliters will be drawn up in the syringe? (Use a leading zero if it applies, Round to the nearest tenth, Do not use a trailing zero).

Choice A rationale

Allowing a client at risk for suicide to nap with the door closed poses a significant safety concern. This practice eliminates direct visual observation, which is paramount in suicide prevention. The closed door creates an opportunity for the client to engage in self-harm behaviors unobserved, increasing the risk of a successful suicide attempt by removing immediate intervention capabilities.

Choice B rationale

While distraction can be therapeutic, allowing a client on suicide precautions to engage in crafts in their room unobserved introduces potential risks. Craft materials, if not carefully monitored and selected, could be used as instruments for self-harm. Maintaining constant, direct observation, even during seemingly benign activities, is crucial to prevent access to means for suicide.

Choice C rationale

Providing headphones for relaxing music, while potentially calming, can compromise auditory monitoring of a client on suicide precautions. The headphones can obscure sounds that might indicate distress, agitation, or self-harm attempts. Direct sensory observation, including listening for abnormal sounds, is a critical component of ensuring continuous safety and prompt intervention.

Choice D rationale

Rounding and visualizing the client every 15 minutes is a fundamental suicide precaution intervention. This frequent, direct observation allows for continuous assessment of the client's behavior, mood, and immediate environment. It minimizes opportunities for self-harm by providing consistent monitoring and enables timely intervention if any concerning signs or actions are detected, ensuring client safety.

Step 1: Calculate the minimum daily dose based on the safe dose range. Minimum safe dose per kg = 8 mg/kg/day. Child's weight = 14 kg. Minimum daily dose = 8 mg/kg/day × 14 kg = 112 mg/day. The minimum dose the child should receive per day is 112 mg.