S.W. is a 4-year-old female who presents with a 7-day history of fever and lethargy. Orders: CBC, BMP, blood culture Acetaminophen 350 mg PO q 4-6 hours prn fever >100.4 F ; safe dose range: 10-15 mg/kg/dose q 4 hours Subjective Data Fever for 1 week Mother has noticed decreased activity level States she is “afraid” of needles Objective Data Weight 26.1 kg Vital signs: T 102.3° F, P 110, R 40, BP 108/54, O2 sat 100% Questions: 1. When should S.W.’s nurse explain the procedure to her? 2. To give S.W. some control over this situation, what choices could be given to her? 3. Walk me through your nursing actions (initial to end) given this clinical situation. 4. Is the order for Acetaminophen safe for this child?
[Answered]: S.W
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