A nurse is preparing to administer 0.9% sodium chloride (NaCl) 30 mg/kg/hr to a client who weighs 22 lb 8 oz. To administer the proper dose, what weight should the nurse use? (Round the answer to the nearest whole number.)

A. ADHD diagnosis requires that symptoms of inattention, hyperactivity, or impulsivity be present in more than one setting (e.g., home, school, social situations) and persist for at least six months, ensuring that behaviors are consistent and not situational.
B. Good academic performance does not rule out ADHD; some adolescents may compensate for symptoms through intelligence, support, or coping strategies, so ADHD can still be present despite satisfactory grades.
C. Focusing only on classroom behavior is insufficient, as ADHD symptoms must be evident across multiple settings to meet diagnostic criteria.
D. While hyperactivity may decrease with age, it remains a relevant criterion for diagnosis. Symptoms may manifest as restlessness or difficulty engaging in quiet activities rather than overt hyperactivity.

A. Beneficence involves actions that promote the well-being of clients, such as administering effective treatments, providing comfort measures, or implementing interventions that improve health outcomes. While the nurse’s question may indirectly support well-being, beneficence focuses more on actively doing good rather than offering choice.

B. Nonmaleficence is the principle of avoiding harm or preventing injury to clients. It guides nurses to consider potential risks of interventions and minimize harm, but it does not directly relate to offering clients options about scheduling.

C. Justice pertains to fairness, equality, and equitable distribution of healthcare resources and services. Ensuring all clients have equal access to therapy is an example, but the nurse asking about preference is not addressing fairness or allocation of resources.

D. Autonomy is the client’s right to make informed decisions about their own care. By asking the client whether they prefer a morning or afternoon session, the nurse is respecting the client’s personal preferences and supporting self-determination, which is a direct application of the principle of autonomy. This allows the client to feel empowered and involved in their care plan.