Which of the following is not considered a unique when establishing the identification of a client?

First, let's calculate the child's weight in kilograms:

27 lb ÷ 2.205 lb/kg = 12.25 kg

Next, we can calculate the total daily dose of albuterol that the child should receive:

0.3 mg/kg/24 hr x 12.25 kg = 3.675 mg/24 hr

We need to divide this total daily dose into three equal doses to be given every 8 hours: 3.675 mg/24 hr ÷ 3 doses = 1.225 mg/dose

The available Albuterol syrup is 2mg/5ml, which means each 5ml of syrup contains 2mg of albuterol. To administer 1.225 mg of albuterol, we need to calculate the volume of syrup required using the following formula:

Volume (ml) = (dose (mg) ÷ concentration (mg/ml))

Volume (ml) = (1.225 mg ÷ 2 mg/ml)

Volume (ml) = 0.6125 ml

Therefore, the child should receive 0.6 ml (rounded to the nearest tenth) of Albuterol syrup per dose, to be given orally three times a day.

Document the refusal and inform the prescriber is the appropriate action for the nurse to take if a client refuses a medication and provides a reason for refusal. The nurse should document the refusal and reason in the client’s medical record, and notify the prescriber of the refusal and the reason given by the client. The prescriber may then choose to modify the medication or the administration method, or may provide additional education or counseling to the client regarding the medication. It is important to respect the client’s autonomy and right to refuse medication, and to work collaboratively with the prescriber to ensure that the client’s care needs are met in a safe and effective manner.