L.M. responds well to the antibiotics, and her shunt is internalized 2 weeks later. she is released from the
hospital after observation for 2 days.
While you are giving your discharge instructions, L.M.'s mother states that she normally
gives L.M. 1 mL of acetaminophen (Tylenol Elixir), 160 mg/5 mL, and asks whether this is the
correct dose. L.M.'s current weight is 4.5 kg and the therapeutic range of acetaminophen
dosage is 10 to 15 mg/kg q4-6 h. Which of these statements would be your best response?
a. "This is a safe amount; you should continue to give that dose every 4 hours."
b. "You can continue to give her that amount; you can give her a dose every 2 hours."
c. "You should give 1.4 to 2.1 mL every 4 to 6 hours based on her current weight."
d. "Tylenol should not be given to a child her age."
c
This dose is within the safe and therapeutic range (10 to 15 mg/kg) based on her weight.
The low safe dose for L.M. is 45 mg (4.5 kg × 10 mg/kg), which would be 1.4 mL. The high safe dose
for L.M. is 67.5 mg (4.5 kg × 15 mg/kg), which would be 2.1 mL. The 1-mL dose that L.M.'s mother has
been giving contains 32 mg. This dose of 1 mL (32 mg) is subtherapeutic. Parents should never be
encouraged to give medication more frequently than recommended time frames. Tylenol is safe to
administer to infants at the therapeutic range of 10 to 15 mg/kg.
Other dosage calculations:
To calculate the number of milliliters for the safe ranges in milligrams:
160 mg/5 mL = 45 mg/x mL; solving for x, x = 1.4 mL
160 mg/5 mL = 67.5 mg/x mL; solving for x, x = 2.1 mL
To calculate the number of milligrams for the mother's dose of 1 mL:
160 mg/5 mL = x mg/1 mL; solving for x, x = 32 mg
The charge nurse tells you that you will be admitting a 1-hour-old infant, Baby Girl R., to the neonatal
intensive care unit (NICu) with a myelomeningocele that was discovered in utero. Her aunt and father
arrive shortly after her admission while the mother remains at the local medical center recovering from a
cesarean delivery.
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A) Niacin B) Vitamin A C) Vitamin C D) Thiamine
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What self-examination schedules should the nurse teach a class of young adult men and women? (Select all that apply.)
1. Monthly breast self-exams for women 2. Yearly breast self-exams for men 3. Weekly testicular self-exams for men 4. Monthly breast self-exams for men 5. Yearly vulvar self-exams for women