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 determines the prescription is insufficient to achieve the desired effect.
The nurse administers the prescribed dosage.
The nurse determines the prescription is above the recommended dosage range.
The nurse contacts the pharmacist to adjust the prescribed dosage.
The Correct Answer is A
To calculate the recommended dosage range for the toddler and compare it to the prescribed dose, we'll follow these steps:
Step 1: Calculate the recommended minimum daily dose:
Recommended Minimum Daily Dose = 20 mg/kg/day x 20 kg
Recommended Minimum Daily Dose = 400 mg/day
Step 2: Calculate the recommended maximum daily dose:
Recommended Maximum Daily Dose = 25 mg/kg/day x 20 kg
Recommended Maximum Daily Dose = 500 mg/day
Step 3: Calculate the prescribed daily dose:
Prescribed Daily Dose = 100 mg/dose x 3 doses/day
Prescribed Daily Dose = 300 mg/day
Step 4: Compare the prescribed dose to the recommended dosage range:
The prescribed daily dose (300 mg/day) is below the recommended minimum daily dose (400 mg/day).
Therefore, the nurse should:
The nurse should contact the health-care provider to request a dosage adjustment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["175.0"]
Explanation
First, convert the infant's weight from grams to kilograms:
3500 g x (1 kg / 1000 g) = 3.5 kg
Next, calculate the cephazolin dose:
Dose = 50 mg/kg x 3.5 kg
Dose = 175 mg
Therefore, the nurse should administer 175.0 mg of cephazolin per dose.
Correct Answer is ["2575"]
Explanation
To calculate the total intake, we need to add up the volume of all the fluids administered to the client during the past 9 hours.
IV fluids:
Lactated Ringer's IV: 150 mL/hour x 9 hours = 1350 mL
Cefazolin: 100 mL
Two units of packed RBCs: 275 mL + 250 mL = 525 mL
Two IV bolus infusions: 250 mL x 2 = 500 mL
Ranitidine: 50 mL
Total IV fluids: 1350 mL + 100 mL + 525 mL + 500 mL + 50 mL = 2575 mL
Therefore, the nurse should record a total intake of 2575 mL.
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