A nurse is preparing to acetaminophen 10/mg/kg PO to a preschool child for fever. The child 22 lb. Available is acetaminophen liquid 160 mg/5 Ml. How many mL should the nurse administer (Round the answer to nearest tenth. Use a leading zero if it applies. Do not use a trailing zero)

Choice A reason: Hypoglycemia in diabetes has a rapid onset due to sudden drops in blood glucose (<70 mg/dL), triggering sympathetic responses like trembling. This statement is correct, as it reflects the acute nature of hypoglycemic episodes, requiring no clarification, as the parent understands the urgency of symptom recognition.

Choice B reason: Nausea and trembling are common hypoglycemia symptoms, resulting from autonomic activation and cerebral glucose deprivation. This statement is correct, as these signs indicate low blood glucose, prompting timely intervention like glucose administration. The parent’s understanding aligns with hypoglycemia pathophysiology, requiring no further clarification in diabetes education.

Choice C reason: Feeling hot is not typical of hypoglycemia, which causes diaphoresis and cool, clammy skin due to sympathetic activation. Instead, feeling cold or sweaty is common. This statement is incorrect, indicating a need for clarification to ensure the parent recognizes accurate hypoglycemia symptoms for timely intervention in diabetes management.

Choice D reason: Sweating is a hallmark of hypoglycemia, caused by catecholamine release in response to low blood glucose. This statement is correct, as diaphoresis signals an acute need for glucose to prevent complications like seizures. The parent’s understanding is accurate, requiring no clarification in diabetes discharge teaching.

Choice A reason: Urine specific gravity of 1.025 indicates concentrated urine, reflecting dehydration as kidneys conserve water. While this confirms fluid deficit, it is not immediately life-threatening. Hypokalemia (2.5 mEq/L) poses a greater risk, as it can cause cardiac arrhythmias, requiring urgent correction to prevent life-threatening complications in a dehydrated child.

Choice B reason: Blood glucose of 110 mg/dL is within normal range (70-140 mg/dL) and does not indicate a priority issue in dehydration. Dehydration may elevate glucose due to hemoconcentration, but this value is normal. Hypokalemia is more critical, as low potassium disrupts cardiac and muscle function, necessitating immediate intervention.

Choice C reason: Potassium of 2.5 mEq/L indicates hypokalemia, a life-threatening condition in dehydration due to urinary potassium loss. Low potassium disrupts cardiac membrane potential, risking arrhythmias like ventricular tachycardia. In a 4-year-old, this is the priority finding, requiring immediate potassium replacement to stabilize cardiac function and prevent sudden death.

Choice D reason: Sodium of 142 mEq/L is within normal range (135-145 mEq/L) and does not indicate an immediate threat in dehydration. Mild hypernatremia may occur due to water loss, but this value is normal. Hypokalemia is more urgent, as it causes cardiac instability, making sodium a lower priority for intervention.