Peds Meds (chap 49h)

Question 1

The usual needle length and gauge for pediatric clients are _____ to ____inch and ____to ____ gauge

Answer 1

1/2 to 1 inch

22 to 25 gauge

Question 2

What does BSA stand for??

Answer 2

Body surface area

It is determined by comparing body weight and height with averages or norms on a graph called a nomogram.

Question 3

True or false

The adult dosage is based on a standardized body surface area (BSA) of 1.73 m2.

Answer 3

True

Question 4

A health care provider has prescribed an antibiotic for a child. The average adult dose is 250 mg. The child has a BSA of 0.41 m2. What is the dose for the child?

Answer 4

BSA of child (m3) / 1.73m3 X adult dose = child dose

=59.24 mg

Question 5

The nurse is providing medication instructions to a parent. Which statement by the parent indicates a need for further instruction?
1. “I should cuddle my child after giving the medication.”
2. “I can give my child a frozen juice bar after he swallows the medication.”
3. “I should mix the medication in the baby food and give it when I feed my child.”
4. “If my child does not like the taste of the medicine, I should encourage him to pinch his nose and drink the medication through a straw.”

Answer 5

3.

The nurse would teach the parent to avoid putting medications in foods because it may give an unpleasant taste to the food, and the child may refuse to accept the same food in the future. In addition, the child may not consume the entire serving and would not receive the required medication dosage. The mother should provide comfort measures immediately after medication administration, such as touching, holding, cuddling, and providing a favorite toy. The mother should offer juice, a soft drink, or a frozen juice bar to the child after the child swallows the medication. If the taste of the medication is unpleasant, the child should pinch the nose and drink the medication through a straw.

Question 6

A health care provider’s prescription reads “ampicillin sodium 125 mg IV every 6 hours.” The medication label reads “1 g and reconstitute with 7.4 mL of bacteriostatic water.” The nurse prepares to draw up how many milliliters to administer one dose?
1.1 mL

2. 0.54 mL
3. 7.425 mL
4. 0.925 mL

Answer 6

4. 0.925 ml

Question 7

A pediatric client with ventricular septal defect repair is placed on a maintenance dosage of digoxin (Lanoxin). The dosage is 0.07 mg/kg/day, and the client’s weight is 7.2 kg. The health care provider (HCP) prescribes the digoxin to be given twice daily. The nurse prepares how much digoxin to administer to the client at each dose?
1. 0.5 mg
2. 2.5 mg
3. 0.25 mg
4. 0.37 mg

Answer 7

3. 0.25 mg
4. 07 mg/day × 7.2 kg = 0.5 mg/day
   The HCP prescribes digoxin twice daily; two doses in 24 hours will be administered:
   so 0.5/2 = 0.25

Question 8

Sulfisoxazole (Gantrisin), 1 g orally four times daily, is prescribed for an adolescent with a urinary tract infection. The medication label reads “500-mg tablets.” The nurse has determined that the dosage prescribed is safe. The nurse administers how many tablets per dose to the adolescent?
1. 1⁄2 tablet

2. 1 tablet
3. 2 tablets
4. 3 tablets

Answer 8

2 tabs

Question 9

Penicillin G procaine (Wycillin), 1,000,000 units IM (intramuscularly), is prescribed for a child with an infection. The medication label reads “1,200,000 units per 2 mL.” The nurse has determined that the dose prescribed is safe. The nurse administers how many milliliters per dose to the child?
1. 0.8 mL

2. 1.2 mL
3. 1.44 mL
4. 1.66 mL

Answer 9

4. 1.66 ml

Question 10

The nurse prepares to administer an intramuscular injection to a 4-month-old infant. The nurse selects which best site to administer the injection?
1. Ventrogluteal

2. Dorsal gluteal
3. Rectus femoris
4. Vastus lateralis

Answer 10

4. Vastus lateralis

Intramuscular injection sites are selected on the basis of the child’s age and muscle development of the child. The vastus lateralis is the only safe muscle group to use for intramuscular injection in a 4-month-old infant. The sites identified in options 1, 2, and 3 are unsafe.

Question 11

Atropine sulfate, 0.6 mg intramuscularly, is prescribed for a child preoperatively. The nurse has determined that the dose prescribed is safe and prepares to administer how many milliliters to the child? Fill in the blank (refer to label)
Label reads 0.4mg/mL

Answer 11

1.5 ml

Question 12

Pediatric dosages for subcutaneous and intramuscular administration are calculated to the nearest ____________.

Answer 12

hundredth