The mother of a 2-month-old child tells the nurse, I've been ...

[kellyjaisingh]

The mother of a 2-month-old child tells the nurse, I've been reading about how vaccines cause autism so I have decided not to give my child any of these vaccines. What is the nurse's best response?
 
  A) Extensive studies have found no link between the measlesmumpsrubella (MMR) vaccine and autism.
  B) Extensive studies are being conducted and so far they have not found a link to autism.
  C) Research has found no link between the chickenpox vaccine and autism.
  D) Many parents agree that withholding vaccines is best and that is your choice to make.

Question 2

A clinic nurse is caring for a 66-pound child who has acute otitis media. The physician has ordered ceftibuten (Cedax) 9 mg/kg per day PO for 10 days. The drug comes in an oral suspension of 90 mg/5 mL. How many mL will the nurse administer?
 
  A) 5 mL
  B) 10 mL
  C) 15 mL
  D) 20 mL

[nyrave]

Answer to Question 1

A
Feedback:
The Immunization Safety Review Committee Board of Health Promotion and Disease Prevention of the Institute of Medicine under the auspices of the Centers for Disease Control and Prevention and the National Institutes of Health have concluded that no evidence supports any linkage between the use of MMR vaccine and the development of autism. The chickenpox virus is not involved in the debate. Although it is the mother's choice to make, many parents make an uninformed decision out of fear, so it is important for the nurse to provide the necessary education because children who do not receive essential immunizations put the community at risk. A child who is exposed to measles and then comes in contact with a pregnant woman can cause fetal damage or death.

Answer to Question 2

C
Feedback:
First, using the formula: 2.2 lb/1 kg = 66 lb/X kg, determine the child's weight in kg (66/2.2 = 30 kg). Next, determine the desired dose by using the formula: amount of prescribed drug times weight in kg (9 mg/kg times 30 kg = 270 mg). To determine the volume of medication to administer, use the formula: amount of drug available/volume available = amount of drug prescribed/volume to administer (90 mg/5 mL = 270 mg/X mL, 90mg/(X) = 1,350 mg/mL, X = 15 mL).

[kellyjaisingh]

TYSM

[raenoj]

Excellent