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CCRN Critical Care Nursing

Category - Pediatrics

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Michael was diagnosed with Wilm’s tumor and started on chemotherapy as treatment. The doctor ordered a Dactinomycin 0.015mg/kg slow IV push now. The nurse on duty should:

question the doctor’s order to prevent over dosage.
administer the medicine and watch out for nausea and vomiting.
hold the medication until the doctor changed the dosage.
administer the medicine then give hydrocortisone 100 mg IV afterwards.

Explanation

Answer: B - The nurse should administer the medicine and watch out for nausea and vomiting. The dosage is safe for a pediatric client, we can administer until 1.5mg in 3 weeks time. Dactinomycin may cause nausea, vomiting, diarrhea and stomatitis.

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CCRN Critical Care Nursing

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