A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?

To calculate the dose of amoxicillin for the toddler:

Step 1: Convert the toddler's weight from pounds to kilograms.

33 lb ÷ 2.2 (lb to kg conversion factor) = approximately 15 kg

Step 2: Calculate the total daily dose of amoxicillin.

Dose = 30 mg/kg/day × 15 kg = 450 mg/day

Step 3: Divide the total daily dose into equal doses every 12 hours.

450 mg/day ÷ 2 doses = 225 mg/dose

Step 4: Calculate the amount of amoxicillin suspension needed for each dose.

The available concentration is 200 mg/5 mL, so for 225 mg, you would use the proportion:

225 mg : 200 mg = x mL : 5 mL

Cross-multiplying: x = (225 mg × 5 mL) / 200 mg ≈ 5.625 mL

Therefore, the nurse should administer approximately 5.625 mL of amoxicillin suspension for each dose.

A) Places the infant in a side-lying position:

Positioning is important in the care of an infant with myelomeningocele. The infant is usually placed in a prone (on the abdomen) position to prevent pressure on the sac and protect the neural tissue. Placing the infant in a side-lying position may not provide the needed protection.

B) Maintains a dry dressing over the sac:

The sac should be kept moist with a sterile, non-adherent dressing moistened with saline to prevent drying and cracking, which could lead to infection.

C) Performs range of motion on the infant's hips:

Infants with myelomeningocele often have flaccid paralysis below the lesion, and excessive manipulation of the lower limbs could cause injury.

D) Takes an axillary temperature:

Rectal temperatures should never be taken, as they can cause mucosal damage or irritate the exposed spinal cord, leading to complications like meningitis. The axillary route is the safest method for temperature assessment.