A pediatric patient receiving chemotherapy for the treatment of acute myelogenous leukemia is prescribed ondansetron for the prevention of nausea and vomiting. Which condition, if present in the patient’s chart, would prompt the nurse to hold the medication and contact the provider?

The 3.2 kg patient with persistent pulmonary hypertension of the newborn (PPHN) has the following order: Infuse norepinephrine 0.05 mcg/kg/min IV and titrate q15 minutes by 0.05 mcg/kg/min to maintain mean arterial pressure between 45 and 55 mm Hg. Overnight, the norepinephrine had been titrated to 0.25 mcg/kg/min for persistent hypotension. At 0900, the MAP rose to 62 mm Hg and the nurse decreased the infusion from 0.25 mcg/kg/min to 0.20 mcg/kg/min. At 0905, the patient’s blood pressure fell to 42 mm Hg. Which action does the nurse take first?

The patient is a 5-year-old boy who presents with anticholinergic toxicity and has been prescribed physostigmine 0.02 mg/kg q10min until the patient’s heart rate drops to 100 beats per minute. The patient’s heart rate is 132 bpm and he weighs 42 pounds. It takes 40 minutes after the first dose for the patient’s heart rate to decrease to 100 bpm. How much total physostigmine, in mg, does the nurse administer? Input your answer to the nearest hundredth decimal place.