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The order is Solumedrol 3 mg/kg for a child weighing 20 kg. Solumedrol is available as 125 mg/2mL. How many ml(s) must the nurse administer?

Answer and Explanation

The Correct Answer is ["0.96"]

- The dose of Solumedrol in mg is = 20 kg x 3 mg/kg = 60 mg.

- The concentration of Solumedrol is given as 125 mg/2mL

- Therefore 1 mL contains 125/2 = 62.5 mg of the drug.

If 62.5 mg =1ml

60mg= 60/62.5

= 0.96ml

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Correct Answer is A

Explanation

A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.

B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.

C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.

D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.

A. “Stay with your child until the child is asleep." B. "Tell your child that monsters are not real." C. "Keep a night light on in your child's room." D. "Let your child sleep in your bed with you."

Correct Answer is C

Explanation

A. While staying with the child until they fall asleep might provide immediate comfort, it might not address the underlying fear of monsters and might create a dependency on the parent's presence.
B. Dismissing the child's fear by stating that monsters are not real might invalidate the child's feelings and not effectively address the fear.
C. Using a night light can provide a sense of security and diminish the fear of monsters by illuminating the room, making it less scary for the child.
D. Allowing the child to sleep in the parent's bed might temporarily alleviate fear but might not address the fear of monsters in the long run and could create sleep dependency.

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The order is Solumedrol 3 mg/kg for a child weighing 20 kg. Solumedrol is available as 125 mg/2mL. How many ml(s) must the nurse administer?

Nursing Test Bank

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