The nurse is caring for a child who weighs 75 lb. The medication ordered for the child has a therapeutic dosage range of 33 mg/kg per day to 48 mg/kg per day. The medication ordered is to be given 4 times per day. Which dosages would be appropriate for the nurse to administer to this child in one dose?

Choice A reason: A rectal temperature above 102.5 °F (39.1 °C) warrants intervention to lower fever, aligning with pediatric guidelines. This statement reflects correct understanding of fever management, making it accurate and not indicative of a need for further teaching compared to the shivering misconception in infants.

Choice B reason: Considering acetaminophen per pediatrician guidance shows understanding of safe fever management, even if avoiding medications initially. This reflects appropriate knowledge of consulting professionals, making it correct and not requiring further teaching, unlike the incorrect shivering interpretation needing clarification for parents.

Choice C reason: Shivering during fever indicates the body raising its temperature set point, not fever reduction. This misconception suggests the fever is worsening, not improving, requiring further teaching to clarify fever physiology, aligning with pediatric nursing education, making it the correct choice for additional instruction.

Choice D reason: Giving extra fluids is a standard recommendation to prevent dehydration during fever, reflecting correct knowledge. This statement aligns with fever management guidelines, making it accurate and not needing further teaching, unlike the shivering statement, which misinterprets a critical fever response in children.

Choice A reason: Lung and spleen damage is complex and internal, making it hard for a 4-year-old to comprehend compared to visible injuries like rashes or burns. This requires more explanation, aligning with pediatric developmental understanding, making it the correct diagnosis needing the most help for comprehension.

Choice B reason: A measles rash is visible and relatable, easier for a 4-year-old to understand than internal organ damage. Lung and spleen injuries are more abstract, making this less challenging and incorrect compared to the diagnosis requiring the most explanation for the child’s understanding.

Choice C reason: Broken bones from a fall are tangible and can be explained with casts or pain, more understandable for a 4-year-old. Internal organ damage is less concrete, making this simpler and incorrect compared to the complex diagnosis needing more help for the child’s comprehension.

Choice D reason: Burns from fireworks are visible and painful, allowing a 4-year-old to grasp the injury more easily than internal organ damage. Lung and spleen issues are more abstract, making this more concrete and incorrect compared to the diagnosis requiring the most explanation for understanding.