A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.
Which of the following findings is the priority for the nurse to report to the provider?

Choice A rationale:

“You must rinse your mouth out after each dose.” This is incorrect. Rinsing the mouth after each dose is usually recommended for inhaled corticosteroids, not oral prednisone.

Choice B rationale:

“You should take this medication on an empty stomach.” This is incorrect. Prednisone should be taken with food to prevent stomach upset.

Choice C rationale:

“You should take a calcium supplement while taking this medication.” This is correct because long-term use of prednisone can lead to bone loss (osteoporosis) Taking a calcium supplement can help protect bone health.

Choice D rationale:

“You can expect some weight loss with this medication.” This is incorrect. Weight gain, not weight loss, is a common side effect of long-term prednisone use.

To calculate the dose of somatropin to be administered per dose, we first need to convert the child's weight from pounds to kilograms. We can do this using the following conversion factor:

1 kg = 2.2 lbs

Therefore, the child's weight in kilograms is:

weight_kg = 66 lbs / 2.2 lbs/kg = 30 kg

Next, we can calculate the total dose of somatropin to be administered per week using the following formula:

total_dose = weight_kg * 0.24 mg/kg/week

This gives us a total dose of:

total_dose = 30 kg * 0.24 mg/kg/week = 7.2 mg/week

Finally, we can calculate the dose of somatropin to be administered per dose by dividing the total dose by the number of daily doses:

dose_per_dose = total_dose / 6 doses/day = 1.2 mg/dose

Therefore, the nurse should administer 1.2 mg of somatropin per dose.

Answer: 1.2 mg of somatropin per dose.