A child who weighs 35 lb needs chloral hydrate (Aquachloral) for ...

[clippers!]

A child who weighs 35 lb needs chloral hydrate (Aquachloral) for sedation prior to a medical procedure. What dose should this child receive?
 
  A.
  150 mg
  B.
  450 mg
  C.
  1,000 mg
  D.
  1,500 mg

Question 2

A preschool-age child is going to have a potentially painful procedure. What action by the nurse is best to prepare the child for this event?
 
  A.
  Allow the child to decide if the parents stay or not.
  B.
  Let the child touch and explore the equipment first.
  C.
  Talk about it briefly for several days beforehand.
  D.
  Use play to demonstrate the procedure to the child.

[harveenkau8139]

Answer to Question 1

ANS: C
The dose for this medication is 50-75 mg/kg. The child weighs 15.9 kg, so the safe dosage range is 795-1,192.5 mg.

Answer to Question 2

ANS: D
The nurse should use play to demonstrate the procedure and allow the child to perform the procedure on a doll or stuffed toy. The parents should be given the choice of staying in the room or not. Preparation should begin immediately before the procedure to keep the child from worrying about it for hours or days. An older child should be allowed to look at and explore equipment that is going to be used.