Author Question: A newborn weighing 3.8 kg has been diagnosed with congenital hypothyroidism. The dose of ... (Read 77 times)

kamilo84 · **on:** Jun 28, 2018

A newborn weighing 3.8 kg has been diagnosed with congenital hypothyroidism. The dose of levothyroxine prescribed by the physician is 10/mcg/kg daily by mouth. The oral syrup comes in 50 mcg per 2 mL.

The dose the nurse needs to teach the mother to give is _________________ ml. Fill in the blank(s) with correct word

Question 2

The nurse is caring for a hospitalized 3-year-old admitted with a history of syndrome of inappropriate antidiuretic hormone (SIADH). He has just received his breakfast tray. Which food should the nurse remove from his tray?

1. Biscuit
2. Yogurt
3. Oatmeal
4. Cantaloupe

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

Answer to Question 1

1.5
Rationale:
The infant's weight is multiplied by 10 mcg to find the daily dose, which is 38 mcg/day. The bottle contains 50 mcg in 2 ml. 38 mcg is divided by 50 mcg, and this answer is multiplied by 2 ml to find the dose to be given to the infant. (The formula is dose divided by what is on hand times quantity.)

Answer to Question 2

4
Rationale:
. A child with SIADH may have carbohydrates, such as in a biscuit.
2. A child with SIADH may have dairy products, such as yogurt
3. A child with SAIDH may have carbohydrates and fiber, such as in oatmeal.
4. A child with SIADH is on a fluid restriction. Cantaloupe contains significant fluid volume, and so would not be a good food for this child to consume.