Author Question: A newborn weighing 6.6 lb is prescribed zidovudine (ZDV) 2 mg/kg every 6 hours to reduce the risk of ... (Read 115 times)

tiara099 · **on:** Jun 27, 2018

A newborn weighing 6.6 lb is prescribed zidovudine (ZDV) 2 mg/kg every 6 hours to reduce the risk of maternal transmission of HIV. The pharmacy prepares an infusion of 1,000 mg of the medication in 1 L of 0.9 normal saline.

How many milliliters of the medication will the nurse infuse for each dose? (Numeric value only.)

Question 2

A 6-month-old baby diagnosed with atopic dermatitis has been receiving treatment by the parents. Which approach that the parents are using indicates that additional health teaching is necessary?

A) After a bath, the mother applies Eucerin cream.
B) To dry lesions, the father applies alcohol to lesions daily.
C) The mother gives the baby a daily bath without using soap.
D) To aid healing, the father applies hydrocortisone cream to the lesions.

dawsa925 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

6 ml
Feedback:
The nurse needs to first determine the patient's weight in kilograms by dividing 6.6 lb by 2.2 or 6.6 / 2.2 = 3 kg. The nurse then needs to determine the amount of medication for each dose by multiplying 2 mg 3 or 6 mg. If the infusion contains 1,000 mg/1,000 ml, then each milliliter contains 1 mg of medication. For a dosage of 6 mg, the nurse would infuse 6 ml.

Answer to Question 2

B
Feedback:
When the atopic dermatitis lesions begin to heal, a skin emollient and moisturizer, such as Eucerin, or baths with a substance to lubricate the skin, such as Alpha-Keri, are prescribed to prevent excessive skin dryness. The parents should be instructed to soak the infant in the bath with the lubricant for approximately 15 minutes. The skin should be patted, not rubbed, dry so lesions are not aggravated. Soap is not to be used for bathing, because it can be drying. Alcohol dries the skin and can be painful to open lesions. Hydrocortisone cream may be prescribed to aid in the healing of the lesions.