A nurse is planning care for a child who has mumps.
Which of the following instructions should the nurse include in the plan?

The correct answer is D. Separates easily from primary caregiver for short periods of time.

Choice A rationale

Explaining the difference between right and wrong is a developmental task expected of older children, typically preschoolers or early school-aged children. Toddlers are still developing their understanding of rules and consequences.

Choice B rationale

Printing letters and numbers is a skill expected of preschoolers or early school-aged children. Toddlers are still developing fine motor skills and are not yet capable of printing letters and numbers.

Choice C rationale

Cooperating in doing simple chores is a developmental task that can be expected of toddlers. However, it is not as specific or significant as the ability to separate easily from the primary caregiver for short periods of time, which is a key developmental milestone for toddlers.

Choice D rationale

Separating easily from the primary caregiver for short periods of time is an important developmental milestone for toddlers. It indicates that the child is developing a sense of independence and trust in their environment, which is crucial for their social and emotional development.

Step 1: Convert the child’s weight from pounds to kilograms. 66 lb ÷ 2.2 = 30 kg

Step 2: Calculate the total daily dose of digoxin. 12 mcg/kg/day × 30 kg = 360 mcg/day

Step 3: Divide the total daily dose by 2 to get the dose for every 12 hours. 360 mcg/day ÷ 2 = 180 mcg/dose

Step 4: Convert mcg to mg. 180 mcg = 0.18 mg Step 5: Calculate the volume to administer per dose using the concentration of the elixir. 0.18 mg ÷ 0.05 mg/mL = 3.6 mL

Final calculated answer: 3.6 mL per dose.