A nurse is reviewing the medication history of a client who reports urinary retention.
The nurse should recognize that which of the following medications can cause this adverse reaction?

To calculate the dose of somatropin to be administered per dose, we first need to convert the child's weight from pounds to kilograms. We can do this using the following conversion factor:

1 kg = 2.2 lbs

Therefore, the child's weight in kilograms is:

weight_kg = 66 lbs / 2.2 lbs/kg = 30 kg

Next, we can calculate the total dose of somatropin to be administered per week using the following formula:

total_dose = weight_kg * 0.24 mg/kg/week

This gives us a total dose of:

total_dose = 30 kg * 0.24 mg/kg/week = 7.2 mg/week

Finally, we can calculate the dose of somatropin to be administered per dose by dividing the total dose by the number of daily doses:

dose_per_dose = total_dose / 6 doses/day = 1.2 mg/dose

Therefore, the nurse should administer 1.2 mg of somatropin per dose.

Answer: 1.2 mg of somatropin per dose.

Choice A rationale:

Dissolving the medication in 30 mL of water is the correct action. This ensures that the medication is in a suitable form for administration via an NG tube and helps prevent the tube from becoming blocked.

Choice B rationale:

Maintaining the client in the supine position during medication administration is not recommended. This position increases the risk of aspiration. Instead, the client should be in an upright position during medication administration and for at least 30 minutes afterward.

Choice C rationale:

Adding the medication to the enteral feeding formula is not recommended. This can alter the effectiveness of the medication and can also clog the feeding tube.

Choice D rationale:

Flushing the tube with 5 mL of water after administering the medication is not enough. The tube should be flushed with at least 15-30 mL of water before and after medication administration to ensure that the entire dose has been administered and to prevent clogging of the tube.