An infant has poor feeding, fever, and malodorous urine. The ...

[rosent76]

An infant has poor feeding, fever, and malodorous urine. The parents do not want the nurse to catheterize the child. Which response by the nurse is the most appropriate?
 
  A.
  Apply a urine collection bag on the baby.
  B.
  Explain how this procedure obtains the best results.
  C.
  Give the baby acetaminophen (Tylenol) for fever.
  D.
  Inform the health-care provider of the refusal.

Question 2

A child weighing 123 lb (56 kg) has been diagnosed with Rocky Mountain Spotted Fever.
 
  The nurse calculates that the correct dose, to be given twice a day, is ___________________ _.

[itsakadoozi]

Answer to Question 1

ANS: B
Parents can be understandably distraught at the thought of their baby having an invasive procedure. The nurse should ensure that the parents understand why the catheterized urine sample or a suprapubic aspirated urine sample is the best choice for obtaining the most accurate urinalysis results. If the parents still refuse, the nurse should document their refusal, inform the provider, and apply a collection bag. The nurse should also treat the baby's fever with acetaminophen, but this option is not directly related to the question.

Answer to Question 2

ANS:
100 mg
The dose for children weighing more than 45 kg is 2.2 mg/kg/dose twice daily, with a maximum dose of 100 mg twice daily. At 56 kg the dose is calculated to be 123 mg, but because the maximum dose is 100 mg, this is what the nurse administers.

[rosent76]

Thank you

[itsakadoozi]

Happy to help you