A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event.
The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?

 

 

To calculate the dosage of acetaminophen for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.
The child weighs 28 lb, which is approximately 12.7 kg (28 / 2.2 = 12.7).

The prescribed dose is 10 mg/kg, so the child's dose is 127 mg (10 mg/kg 12.7 kg).

Now, using the concentration of the available medication, which is 120 mg/5 mL, you can calculate the volume of medication needed.
For 120 mg of acetaminophen, 5 mL of liquid is required, so for 127 mg, it would be 5 mL (127 mg / 120 mg) = 5.29 mL.
Therefore, the nurse should administer 5.3 mL, rounding to the nearest tenth as instructed.

Rationale:

A. "Your baby should sleep at least 6 hours between feedings.": Newborns typically wake every 2-3 hours for feeding, so sleeping for 6 hours between feedings is not indicative of adequate breastfeeding.

B. "Your baby should burp after each feeding.": Burping is important for gas relief but does not necessarily indicate sufficient breastfeeding.

C. "Your baby should have a wake cycle of 30 to 60 minutes after each feeding.": The wake cycle after feeding is not a reliable indicator of sufficient breastfeeding.

D. "Your baby should wet 6 to 8 diapers per day.": Monitoring the number of wet diapers is a

reliable indicator of adequate breastfeeding. A newborn who is getting enough breast milk should produce at least 6 to 8 wet diapers per day, indicating sufficient hydration and nutrient intake.