A nurse is preparing to administer acetaminophen 10 mg/kg PO to a preschool child for fever.

The child weighs 22 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Choice A rationale

Watermelon with seeds poses a choking hazard for young children, making it an unsafe food choice. The seeds can easily get stuck in a child’s throat, leading to potential airway obstruction. Additionally, small children might not have the coordination to properly spit out seeds, increasing the risk of accidental swallowing and subsequent choking. Therefore, whole fruits with seeds are generally recommended to be avoided for toddlers.

Choice B rationale

Raw carrots are another choking hazard for young children due to their hard texture. Toddlers might not have developed the necessary chewing skills to safely eat raw vegetables, increasing the risk of choking. Small, hard foods like raw carrots can be difficult to chew and swallow, making them unsafe for children under the age of three. Cooked or finely chopped vegetables are safer alternatives.

Choice C rationale

Mashed potatoes are a safe and appropriate food choice for a 14-month-old child. They are soft, easy to chew, and swallow, reducing the risk of choking. Mashed potatoes can be easily modified to suit the nutritional needs and texture preferences of young children. They can also be fortified with other healthy ingredients like pureed vegetables or proteins to make a balanced meal for toddlers.

Choice D rationale

Popcorn is a known choking hazard for young children and is not recommended for those under the age of four. Popcorn kernels are small, hard, and irregularly shaped, making them difficult for young children to chew and swallow safely. The risk of choking on popcorn is high due to its propensity to lodge in the airway, causing potentially serious complications. .

Choice A rationale

Asymmetric thigh folds are a common sign of developmental dysplasia of the hip (DDH) in infants. This physical examination finding indicates that the hips are not aligned properly, which can cause the folds in the thighs to appear uneven.

Choice B rationale

A shortened thigh, rather than a lengthened one, on the affected side is more typical of DDH. It is due to the femoral head not being properly seated in the hip socket, which can cause a discrepancy in leg length.

Choice C rationale

An inwardly turned foot is not a characteristic finding of DDH. This symptom is more commonly associated with conditions affecting the feet and lower legs, such as clubfoot.

Choice D rationale

The absence of plantar reflexes is not typically associated with DDH. This reflex involves a different part of the nervous system and is not linked to hip dysplasia.