Doctor orders: Epogen 150 units/kg SQ three times weekly due to anemia secondary to chemotherapy for a child weighing 80 kg. Available is Epogen 20,000 units/ml. How many ml will you give? Round to the nearest tenth.

Correct Answer: A

Rationale: Calculate the dose per administration: 150 units/kg × 80 kg = 12,000 units. Available concentration is 20,000 units/ml. Divide the dose by the concentration: 12,000 units ÷ 20,000 units/ml = 0.6 ml. No rounding needed as it’s already at one decimal place.

Correct Answer: C

Rationale: Family-centered care emphasizes the family’s role as the primary constant in a child’s life, guiding nursing practice.

Correct Answer: C

Rationale: Practicing on a doll , watching a video , and nurse demonstration teach effectively. Beach imagery and watching another child are inappropriate.

Correct Answer: B

Rationale: Patients should inform their healthcare provider of herbal use (B) due to potential interactions or risks, especially in pregnancy. Cheaper brands (A), label claims (C), or high doses (D) can be unsafe. Document: 'The question of whether or not to continue [herbal products] during pregnancy… must be discussed with the health care provider.'

Correct Answer: A

Rationale: Wintergreen (A) and anise (C) are contraindicated in pregnancy due to potential uterine stimulation or toxicity. Jasmine (B), lavender (D), and peppermint (E, not listed) are generally safe. Document: 'Some essential oils… contraindicated… include anise… wintergreen.'