A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?

Step 1: Convert the client’s weight from pounds to kilograms. 198 lb ÷ 2.2 = 90 kg

Result: 90 kg

Step 2: Calculate the total daily dose of vancomycin. 15 mg × 90 kg = 1350 mg/day

Result: 1350 mg/day

Step 3: Divide the total daily dose by 2 to get the dose per administration (since it is given every 12 hours). 1350 mg/day ÷ 2 = 675 mg

Result: 675 mg

Final Answer: The nurse should administer 675 mg of vancomycin with each dose.

Choice A reason: Eating a snack half an hour before playing soccer is a good practice for children with type 1 diabetes. Physical activity can lower blood glucose levels, and having a snack beforehand helps prevent hypoglycemia. This statement indicates that the child understands the importance of managing blood glucose levels during exercise.

Choice B reason: My morning blood glucose should be between 90 and 130 is a correct statement regarding target blood glucose levels for children with type 1 diabetes. However, this statement alone does not indicate a comprehensive understanding of diabetes management, as it only addresses one aspect of blood glucose monitoring.

Choice C reason: I should not take my regular insulin when I am sick is incorrect. Children with type 1 diabetes should continue taking their insulin even when they are sick, as illness can cause blood glucose levels to rise. They may need to adjust their insulin dosage, but stopping insulin altogether can lead to dangerous complications like diabetic ketoacidosis.

Choice D reason: I can store unopened bottles of insulin in the freezer is incorrect. Insulin should be stored in the refrigerator, not the freezer. Freezing insulin can damage its effectiveness. Unopened insulin should be kept at a temperature between 36°F and 46°F (2°C to 8°C).