A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?
The nurse administers the prescribed dosage.
The nurse determines the prescription is insufficient to achieve the desired effect.
The nurse contacts the pharmacist to adjust the prescribed dosage.
The nurse determines the prescription is above the recommended dosage range.
The Correct Answer is B
A) The nurse administers the prescribed dosage: Given the toddler weighs 20 kg and the recommended dosage range is 20 to 25 mg/kg/day, the total daily dosage required would be between 400 mg (20 kg × 20 mg/kg) and 500 mg (20 kg × 25 mg/kg). The prescribed dosage is 100 mg every 8 hours, which totals 300 mg/day (100 mg × 3 doses/day). This is below the recommended dosage range, indicating it might be insufficient.
B) The nurse determines the prescription is insufficient to achieve the desired effect: The prescribed dosage of 300 mg/day is less than the minimum recommended dosage of 400 mg/day. Therefore, it is appropriate to determine that the prescription may be insufficient for the required therapeutic effect.
C) The nurse contacts the pharmacist to adjust the prescribed dosage: While it is correct to recognize that the dosage might be insufficient, the nurse should first consult with the healthcare provider to adjust the prescription based on clinical judgment and specific patient needs rather than contacting the pharmacist directly.
D) The nurse determines the prescription is above the recommended dosage range: The prescribed dosage of 300 mg/day is actually below the recommended range of 400 to 500 mg/day. Therefore, it is incorrect to determine that the prescription is above the recommended range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2525"]
Explanation
1. Calculate the total volume of the continuous IV infusion (Lactated Ringer's):
- Rate of infusion: 150 mL/hr
- Duration: 9 hr
- Total volume from Lactated Ringer's = Rate × Duration
- Total volume from Lactated Ringer's = 150 mL/hr × 9 hr = 1350 mL
2. Calculate the volume from the cefazolin IV intermittent bolus:
- Volume of cefazolin bolus = 100 mL
3. Calculate the total volume from the packed RBCs:
- Volume of first unit of packed RBCs = 275 mL
- Volume of second unit of packed RBCs = 250 mL
- Total volume from packed RBCs = 275 mL + 250 mL = 525 mL
4. Calculate the total volume from the two IV bolus infusions of 0.9% sodium chloride:
- Volume of first bolus = 250 mL
- Volume of second bolus = 250 mL
- Total volume from sodium chloride boluses = 250 mL + 250 mL = 500 mL
5. Calculate the volume from the famotidine IV intermittent bolus:
- Volume of famotidine bolus = 50 mL
6. Calculate the total intake by adding the volumes from all sources:
- Total intake = (Volume from Lactated Ringer's) + (Volume from cefazolin bolus) + (Total volume from packed RBCs) + (Total volume from sodium chloride boluses) + (Volume from famotidine bolus)
- Total intake = 1350 mL + 100 mL + 525 mL + 500 mL + 50 mL
- Total intake = 2525 mL
Answer: The nurse should record a total intake of 2525 mL for the client over the past 9 hours.
Correct Answer is ["200"]
Explanation
Convert pounds to kilograms: 88 lb ÷ 2.2 lb/kg = 40 kg
Calculate the dose: 5 mg/kg X 40 kg = 200 mg
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.