Nurses today would use which of the following methods to ...

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Nurses today would use which of the following methods to calculate a medication dosage for a child?
 
  a. Clark's rule, using the child's weight in the calculation
  b. Young's rule
  c. Fried's rule
  d. unit of drug per kilogram of body weight or body surface area

Question 2

Which of the following best describes differentiated practice?
 
  a. having a practice that is different from the usual practices of nurses
  b. an area of nursing that is highly specialized
  c. delineating a nurse's role and functions according to experience, competence, and education
  d. separating different nursing roles in a hospital and using competency testing to determine who can fill these roles

[Edwyer]

Answer to Question 1

D

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A Incorrect. Nurses today would not use Clark's rule, using the child's weight in the calculation.
B Incorrect. Nurses today would not use Young's rule.
C Incorrect. Nurses today would not use Fried's rule.
D Correct. Appropriate drug dosages in children are most commonly calculated on the basis of unit of drug per kilogram of body weight or unit of drug per Body Surface Area (BSA).

Answer to Question 2

C
a.
Feedback
A Incorrect. Although the word different distinguishes between a practice and usual practices of nurses, the primary roles and even the secondary roles of a nurse are universal and the same.
B Incorrect. Specialization is described by expanded roles, such as pediatric nurse practitioners, clinical nurse specialists and case managers.
C Correct. Other roles seen in the acute care setting involve differentiated practice (a philosophy that delineates a nurse's role and functions according to experience, competence, and education) and include the clinical care coordinator, care manager, and clinical nurse.
D Incorrect. Differentiated practice involves experience and education in addition to competencies.

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[T4T]

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