Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

The correct answer and explanation is:

c) Call the healthcare provider and clarify the prescription.

This is the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Calling the healthcare provider and clarifying the prescription is the safest and most effective way to prevent medication errors and ensure the child's safety.

The PN should not administer the medication until they are sure that it is correct and appropriate for the child.

a) Tell the pharmacy to send an accurate child's dosage.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Telling the pharmacy to send an accurate child's dosage is not appropriate, as it may cause confusion, delay, or conflict with the healthcare provider's orders. The PN should not assume that they know the correct dosage for the child without consulting with the healthcare provider.

b) Ask another nurse if adult dosages are ever given to children.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Asking another nurse if adult dosages are ever given to children is not helpful, as it may not provide accurate or reliable information. The PN should not rely on another nurse's opinion or experience without verifying it with the healthcare provider.

d) Request verification of the prescription by the charge nurse.

This is not the action that the PN should take if they believe that a prescription for a child is incorrect because the dosage prescribed is the usual adult dosage. Requesting verification of the prescription by the charge nurse is not necessary, as it may waste time and resources. The PN should be able to communicate directly with the healthcare provider and clarify any doubts or concerns about the prescription.

To calculate the amount of darbepoetin alfa that the nurse should administer, you can use the following formula:

Dose (mL) = Amount prescribed (mcg) / Concentration (mcg/mL)

In this case:

Amount prescribed = 40 mcg
Concentration = 60 mcg/mL

Dose (mL) = 40 mcg / 60 mcg/mL = 2/3 mL

Now, you can convert 2/3 mL to decimal to make it easier to work with:

2/3 = 0.6667 mL

Rounded to one decimal place, the nurse should administer approximately 0.7 mL of darbepoetin alfa. So, the correct answer is 0.7 mL.