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

Performing ROM exercises can cause stress on the infant's developing bones and muscles and is not the priority for spina bifida.

Choice B rationale

Feeding through an NG tube is not necessary unless the infant has feeding difficulties related to spina bifida.

Choice C rationale

Placing the infant in a prone position prevents pressure on the lesion, reducing the risk of injury and infection.

Choice D rationale

Covering the lesion with a dry cloth can cause the area to dry out and is not recommended; sterile, moist dressings are preferred.

Choice A rationale

Distracting the child by buying a toy can reinforce the tantrum behavior by teaching the child that tantrums result in rewards. This can lead to an increase in tantrum frequency as the child learns to manipulate situations to get new toys or other desired items.

Choice B rationale

Appearing to ignore the child during a tantrum helps to extinguish the behavior over time. By not giving attention to the tantrum, the child learns that this behavior does not achieve their desired outcome. Consistency is key in this approach to ensure the child understands that tantrums are ineffective.

Choice C rationale

Placing the child in time-out for 3 minutes can be effective in some cases, but it may not be the first recommendation. Time-out removes the child from a stimulating environment and gives them time to calm down. However, it may not address the underlying reasons for the tantrum.

Choice D rationale

Calmly telling the child to stop might not be effective during the peak of a tantrum. Toddlers in the midst of a tantrum often cannot process verbal instructions or reasoning, so this approach may not achieve the desired result.