A nurse in a pediatric clinic is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of a visual Impairment?

Convert weight from pounds to kilograms:

• • 55 lb / 2.2 lb/kg = 25 kg

Calculate the total milligrams of diphenhydramine needed:

• • Dose (mg/kg) x Weight (kg) = Total milligrams
  • 1.25 mg/kg x 25 kg = 31.25 mg (round to 31.3 mg)

Determine the volume of diphenhydramine solution needed:

• • Total milligrams / Concentration (mg/mL) = Volume (mL)
  • 31.3 mg / 50 mg/mL = 0.63 mL (round to nearest tenth)

Therefore, the nurse should administer 0.6 mL of diphenhydramine 50 mg/mL

A. "I will expect my child to need annual sweat chloride testing." Incorrect. Sweat chloride testing is primarily used for diagnosing cystic fibrosis, not for routine annual monitoring. Once a diagnosis is confirmed, ongoing management focuses on nutritional support, respiratory care, and monitoring for complications.

B. "I will have my child chew the pancrelipase medication before eating." Incorrect. Pancrelipase should not be chewed. It needs to be swallowed whole or sprinkled on acidic food to ensure proper absorption and to avoid irritation of the mouth and esophagus.

C. "I will ensure that my child consumes a high-calorie diet." Correct. Children with cystic fibrosis often require a high-calorie diet due to malabsorption issues and the increased energy expenditure related to their condition. Ensuring adequate caloric intake helps with growth and overall health.

D. "I will administer dornase alfa every 4 hours for wheezing." Incorrect. Dornase alfa (Pulmozyme) is usually administered once or twice daily to help thin mucus in the lungs. It is not typically used every 4 hours or specifically for wheezing.