Heparin is prescribed to run 800 units/hr. The medication is supplied as 25,000 units per 250 mL. At what rate should the nurse set the not use a trailing zero,do not use a leading zero Round to a whole number)

A. A 4-year-old child who has asthma and a PCO2 of 37 mm Hg. – Incorrect. A PCO2 of 37 mm Hg is within normal limits (35–45 mm Hg), indicating no immediate respiratory distress.

B. A 7-year-old child who has diabetes insipidus and a urine specific gravity of 1.016. – Incorrect. A urine specific gravity of 1.016 is within the normal range (1.005–1.030), suggesting adequate hydration.

C. A 1-year-old toddler who has a temperature of 39°C (102.2°F). – Correct. A high fever in an infant can indicate a serious infection, requiring immediate assessment.

D. A 10-year-old child who has sickle cell anemia who reports severe chest pain. – Correct. Severe chest pain in a child with sickle cell anemia may indicate acute chest syndrome, a life-threatening complication requiring urgent intervention.

A. Measure abdominal girth – Correct. Measuring abdominal girth helps monitor for signs of obstruction, which is common in Hirschsprung’s disease due to the absence of ganglion cells in the colon.

B. Teach the child deep breathing exercises – Incorrect. Deep breathing exercises are not typically taught to infants or young children undergoing surgery for Hirschsprung’s disease.

C. Assess the child's bowel function with characteristics of stool – Correct. Assessing stool patterns is important since Hirschsprung’s disease is characterized by an absence of peristalsis in the affected bowel.

D. Administer isotonic enema to evacuate bowel – Incorrect. Enemas are contraindicated in Hirschsprung’s disease as they can lead to bowel perforation.

E. Administer an antibiotic as per order – Correct. Preoperative antibiotics are given to prevent infection.

F. Restrict the child's fluid intake – Incorrect. Fluid restriction is not necessary and may worsen dehydration, especially if the child has vomiting or diarrhea.

G. Assess vomiting – Correct. Vomiting can indicate worsening obstruction or enterocolitis, a serious complication of Hirschsprung’s disease.