Question

Please help

Please help answer these questions (Show your work on the math questions.)

Three year old Danica arrives to your oncology floor. She is currently receiving chemotherapy for bilateral Wilm's Tumor that she was diagnosed with six weeks ago. Her surgery is scheduled next week. Her CC (chief complaint) on arrival to the ED today was fever (103.1F). Her ANC is 412.

1. What are three nursing diagnoses for Danica? What are two interventions PER nursing diagnosis for Danica? (Total 3 ND, 6 interventions)

2. Danica requires fever control, she weighs 28 pounds. Her dose of acetaminophen for fever control is 15mg/kg. What is her dose? (Round to nearest 1/10 of a mg as it is nearly impossible to draw up more specifically than that)

3. Your tylenol is packaged 160mg/5mL. How much do you draw up?

4. Why might Ibuprofen be contraindicated for her?

5. Dominic needs pain control. He weighs 92 pounds. The Morphine Sulfate (MS) is ordered at 0.1mg/kg. What is Dominic's dose?

6. You Morphine Sulfate (MS) vials at 2mg/1mL. How much do you draw up?

Answer 1

1.Altered body temperature related to infection as evidenced by increased neutrophil count secondary to chemotherapy

Intervention

• Monitor vital signs as it is the baseline to plan for care
• Administer antipyretics to reduce the fever
• Follow aseptic techniques ,hand hygiene infection control practice to reduce the rate of infection
• Provide tapid or cold sponge to cool the body

2.Risk for poor surgical outcome related to infection

Intervention

• Administer as per order to control infection
• Treat the underlying cause

Risk for fluid volume deficiency related to chemotherapy secondary to wilms tumor

Intervention

• Monitor intake and output chart to plan for care
• Administer IV fluid to maintain fluid balance

2.Given

Weight:28 pounds (12.7kg =28×0.454)

Dose:15mg/kg

The child weighs 12.7 kg

When 1kg=15mg

Then 12.7kg=??mg

Cross multiply and divide

=12.7×15÷1

=190.5mg

Ans:190mg

3.Available: 5ml=160mg

Therefore 190mg=??ml

Cross multiply and divide

=190×5÷160

=5.9ml

Ans:Draw 5.9ml

4.Ibuprofen has a nephrotic property si it is not recommended for a child with wilm's tumor

4.weight:92 pounds(41.7kg or 42 kg)

Order:0.1mg/kg

Therefore 42kg=??

Cross multiply and divide

=42×0.1

=4.2 mg

6 .Available 2mg=1ml

Therefore 4.2mg=??ml

=4.2×1÷2

=2.1ml