The Nurse Is Caring for an Intubated Infant with Botulism

question 21

Multiple Choice

The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit.Which health care provider prescriptions should the nurse clarify with the health care provider before implementing?

• A)Administer 250 mg botulism immune globulin intravenously (BIG-IV) one time.
• B)Provide total parenteral nutrition (TPN) at 25 ml/hr intravenously.
• C)Titrate oxygen to keep pulse oximetry saturations greater than 92.
• D)Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.

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Definitions:

Lowest Boiling Point

The temperature at which a substance transitions from a liquid to a gas state, being the lowest among a group of substances.

T-butyl Chloride

A compound consisting of a tertiary butyl group attached to a chlorine atom, used in organic synthesis, particularly in nucleophilic substitution reactions.

N-butyl Iodide

An organic compound with the chemical formula CH3(CH2)3I, used in organic synthesis.

Carbocation

A positively charged ion (cation) in which the charge is on a carbon atom, often an intermediate in organic reactions.