Author Question: An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that ... (Read 23 times)

fahad · **on:** Jun 28, 2018

An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested. What is the first action the nurse should take?

a. Wait for the child's parents to arrive.
b. Move the child out of the parking lot.
c. Have someone notify the emergency medical services (EMS) system.
d. Help the child stand to return to play.

Question 2

The health care provider has prescribed carbamazepine (Tegretol) 20 mg/kg/day divided bid for a child with cerebral palsy having seizures. The child weighs 44 lb. The nurse is preparing to administer the 0900 dose.

Calculate the dose the nurse should administer in milligrams. Record your answer below in a whole number.
_________

Fayaz00962 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The child was involved in a motor vehicle collision and at this time is not able to move his extremities. The child needs immediate attention at a hospital for assessment of the possibility of a spinal cord injury. Because the child cannot move his extremities, the child should not be moved until his cervical and vertebral spines are stabilized. The EMS team can appropriately stabilize the spinal column for transport. Although it is important to notify the parents, the EMS system should be activated and transport arranged for serious injuries. The only indication to move the child is to prevent further trauma.

Answer to Question 2

ANS:
200

The correct calculation is:

44 lb/2.2 kg = 20 kg

Dose of Tegretol is 20 mg/kg/day divided bid

20 mg 20 = 400 mg

400 mg/2 = 200 mg