The practical nurse (PN) enters the room of a client who underwent a mastectomy eight hours ago. The PN observes the unlicensed assistive personnel (UAP) preparing to measure the client's blood pressure using an automated blood pressure device on the client's operative side. Which action should the PN implement?

A. Take the child's pulse

Assessing the pulse is crucial to determine if the child has a heartbeat and to evaluate the effectiveness of CPR. This helps to determine the current cardiovascular status of the child and the urgency of further resuscitation efforts.

F. Determine if the child's airway is clear

Ensuring a clear airway is a priority in any emergency situation. A blocked airway can prevent effective ventilation and oxygenation, which is critical for a child who has experienced a near-drowning incident.

D. Start a peripheral IV line

Starting a peripheral IV line is important for administering fluids and medications that may be necessary for resuscitation and stabilization. It allows for rapid access to the child's circulatory system for necessary interventions.

E. Look for any open wounds

Checking for open wounds is necessary to identify any immediate sources of bleeding or potential infections that need to be addressed. It is part of a thorough initial assessment to ensure comprehensive care for the child.

• Medication dose: 30 mg enoxaparin
• Medication concentration: 30 mg per 0.3 mL (prefilled syringe)
• Frequency: Every 12 hours
• Duration: 10 days

Calculation:

1. Injections per day: Since the medication is given every 12 hours, the client will receive injections 2 times per day (24 hours / 12 hours/injection).
2. Total medication per day: To find the total amount of enoxaparin needed per day, multiply the single injection dose by the number of injections:

Total enoxaparin/day = Dose per injection x Number of injections/day = 30 mg/injection x 2 injections/day = 60 mg/day

1. Volume of medication per day: Now, we need to find the volume of solution needed to deliver the total daily dose (60 mg) based on the medication concentration (30 mg/0.3 mL). We can achieve this with a proportion:

Volume (mL) / Total dose (mg) = Concentration (mg/mL)

Volume (mL) = (Total dose (mg) x Concentration (mL/mg)) / Concentration (mg/mL)

Plugging in the values:

Volume (mL) = (60 mg x 0.3 mL/mg) / 30 mg/mL

Volume (mL) = 18 mL / 30 mL/mL

Simplifying:

Volume (mL) = 0.6 mL

Therefore, the practical nurse (PN) should administer 0.6 mL of enoxaparin each day.