The nurse is instructing the parents of a young child on appropriate dosing of acetaminophen. Which instruction should the nurse include?
Standard Text: Select all that apply.
1. "Use the dosage cup that comes with the acetaminophen to measure the dosage."
2. "If you use an eyedropper to draw up the dose out of the bottle, it is not so sticky and messy."
3. "If you already have acetaminophen pills at home, you can crush one up and put it in juice."
4. "If you lose this medication cup, use a cereal spoonful to measure the dose."
5. "Your pharmacist may be able to supply a calibrated dosing spoon you can use for this medication."
Correct Answer: 1,5
Rationale 1: Acetaminophen should be dosed with the dosage cup included with the medication.
Rationale 2: The medication should be dosed with the medication cup that is included.
Rationale 3: Acetaminophen is enterically coated and should not be crushed. The adult formulation may not be the correct dosage for the child.
Rationale 4: Not all household spoons measure the same amount. Only a calibrated measure should be used.
Rationale 5: Calibrated dosing spoons are an acceptable alternative to the medication cup included with the drug.
Global Rationale: Liquid doses of acetaminophen or NSAIDs should be measured with the enclosed dosage cup, dropper, or spoon. If that measuring device is no longer available, do NOT use a household spoon. Obtain another calibrated measuring cup or dropper.
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