Author Question: A toddler is admitted to the hospital with a possible diagnosis of tetanus. The health care provider ... (Read 70 times)

cdr_15 · **on:** Jun 28, 2018

A toddler is admitted to the hospital with a possible diagnosis of tetanus. The health care provider has prescribed lorazepam (Ativan) intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant.

The child weighs 22 lbs. How many milligrams of Ativan should the nurse administer per dose? _____ Record your answer using one decimal place.

What will be an ideal response?

Question 2

Which assessment findings should the nurse note in a school-age child with Duchenne's muscular dystrophy (DMD) (Select all that apply)?

a. Lordosis
b. Gower's sign
c. Kyphosis
d. Scoliosis
e. Waddling gait

dlook33 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS:
0.5

Find the child's weight in kilograms by dividing 22 by 2.2 = 22/2.2 = 10 kg. Multiply the 0.05-mg dose by 10 = 0.05 mg 10 kg = 0.5 mg per dose.

Answer to Question 2

ANS: A, B, E
Difficulties in running, riding a bicycle, and climbing stairs are usually the first symptoms noted in DMD. Typically, affected boys have a waddling gait and lordosis, fall frequently, and develop a characteristic manner of rising from a squatting or sitting position on the floor (Gower's sign). Lordosis occurs as a result of weakened pelvic muscles, and the waddling gait is a result of weakness in the gluteus medius and maximus muscles. Kyphosis and scoliosis are not assessment findings with DMD.