the nurse is caring for a child with the following order methylprednisolone solu medrol 20 mg iv every 6 hours the nurse has methylprednisolone 100 mg

ATI RN

ATI Nursing Care of Children

1. The nurse is caring for a child with the following order: Methylprednisolone (Solu-Medrol) 20 mg IV, every 6 hours. The nurse has Methylprednisolone 100 mg in 2 mL available. How many mL should the nurse administer with each dose?

A. 0.4 mL
B. 0.2 mL
C. 0.5 mL
D. 0.6 mL

Correct answer: A

Rationale: The correct dosage to administer 20 mg is 0.4 mL, calculated by dividing the dose (20 mg) by the concentration (100 mg in 2 mL). This calculation ensures the accurate administration of the prescribed medication. Choices B, C, and D are incorrect as they do not reflect the correct calculation based on the provided concentration of the medication.

2. A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?

A. This cannot be prevented
B. Infants do not feel pain as adults do
C. This is not a good reason for refusing
D. A topical anesthetic can be applied

Correct answer: D

Rationale: The nurse should explain that a topical anesthetic can be applied to the injection site before the immunization to reduce discomfort.

3. An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?

A. Initiating discharge teaching
B. Performing baseline physical and behavioral assessment
C. Observing for allergic reactions to preoperative antibiotics
D. Determining whether this defect exists in other family members

Correct answer: B

Rationale: Performing a baseline physical and behavioral assessment is crucial to determine the infant's current health status and to identify any potential risks before surgery.

4. What time frame has the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) and American College of Obstetricians and Gynecologists recommended that pregnant adolescents and women who are not protected against pertussis receive the tetanus, diphtheria, and pertussis (Tdap) vaccine?

A. Between 27 and 36 weeks of gestation or postpartum before discharge from the hospital
B. During the first prenatal visit when pregnancy is confirmed
C. The vaccine should be administered 24 hours prior to delivery
D. This vaccine is only recommended during the first trimester

Correct answer: A

Rationale: The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) and American College of Obstetricians and Gynecologists recommend that pregnant adolescents and women without protection against pertussis should receive the Tdap vaccine ideally between 27 and 36 weeks of gestation or postpartum before discharge from the hospital. This timeframe allows for the development of antibodies in the mother to protect her and provide passive immunity to the infant. Administering the vaccine during the first trimester (Choice D) is not recommended as the optimal time is between 27 and 36 weeks. Choice B, during the first prenatal visit, is too early for optimal protection, and Choice C, 24 hours prior to delivery, does not provide enough time for the vaccine to be effective before birth.

5. Parents would suspect hearing loss if their child did not:

A. Turn away from a sound
B. Startle with sudden loud noises immediately after birth
C. Talk at 4 months
D. Babble at 2 months

Correct answer: D

Rationale: The correct answer is D because babbling is an early indicator of hearing ability in infants. Lack of babbling by 2 months may suggest a potential hearing issue. Choices A, B, and C are incorrect because turning away from a sound, startling with sudden loud noises immediately after birth, and talking at 4 months are not primary indicators of hearing loss in infants.