Final answer:
The nurse should administer 2.27 mL of Medrol to a child that weighs 71.6 pounds, considering the dosage is 1.4 mg/kg and the concentration of Medrol is 20 mg/mL.
Step-by-step explanation:
To calculate the amount of Medrol the nurse needs to administer, we'd first convert the child's weight from pounds to kilograms and then use the dosage of 1.4 mg/kg. The conversion factor between pounds and kilograms is 1 kg = 2.20462 lbs.
The child weighs 71.6 lbs, which we convert to kilograms:
71.6 lbs ÷ 2.20462 lbs/kg = 32.48 kg (expressed to two significant figures)
Now, we multiply the child's weight in kilograms by the ordered dosage per kilogram:
32.48 kg × 1.4 mg/kg = 45.47 mg
The concentration of the Medrol stock solution is 20 mg/mL, so we need to calculate how many milliliters to achieve the required dose:
45.47 mg ÷ 20 mg/mL = 2.27 mL
Therefore, the nurse should administer 2.27 mL of Medrol to the child.