A health care provider has prescribed hydroxyurea 20 mg/kg per dose by mouth to an 8 year old child as part of a treatment regimen for sickle cell disease. This is a safe dose. The child weighs 55 lb. How many milligrams should the nurse administer? Enter only the number.
The Correct Answer is ["500"]
To calculate the dose of hydroxyurea for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 55 pounds, which is equivalent to 25 kilograms (55 ÷ 2.2). Then, multiply the weight in kilograms by the dose prescribed, which is 20 mg/kg. So, the calculation would be 25 kg × 20 mg/kg, which equals 500 mg.
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Correct Answer is C
Explanation
A. Antibiotics are essential but are administered after cultures to avoid interference.
B. Blood cultures are important but not as immediate as infection control through isolation.
C. Placing the child in isolation helps prevent the spread of meningitis, which is highly contagious.
D. A lumbar puncture is diagnostic but follows isolation and initial assessments.
Correct Answer is C
Explanation
A. Psychotherapy for other family members is essential but not the immediate priority.
B. Therapy for the child is beneficial but secondary to ensuring immediate safety.
C. Ensuring the child's safety is the top priority in suspected abuse cases to prevent further harm.
D. Treatment for the mother (e.g., psychiatric care) is necessary but secondary to child protection.
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