A 20-lb (9-kg) child is having a severe allergic reaction. The school nurse has an EpiPen Jr. auto-injector containing 0.3 mg. Which action by the nurse is the most appropriate?
A.
Administer the injection.
B.
Begin CPR.
C.
Call 911 immediately.
D.
Give half the injection.
ANS: C
EpiPen Jr. auto-injectors are available in two strengths: 0.15 mg for children weighing up to 33 lb (15 kg) and one containing 0.3 mg for older children and adults. The nurse has the wrong-size injector. The most appropriate action is to call 911 to access the emergency medical system. The child does not need CPR. Because the injector is automated, you cannot change the amount that is given.
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