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 contacts the pharmacist to adjust the prescribed dosage.
The nurse determines the prescription is insufficient to achieve the desired effect.
The nurse determines the prescription is above the recommended dosage range.
The nurse administers the prescribed dosage.
The Correct Answer is B
To calculate the appropriate dosage of amoxicillin for the toddler; Given:
Weight of the toddler = 20 kg
Recommended dosage range = 20 to 25 mg/kg/day Calculate the total daily dose:
Minimum recommended dosage = 20 mg/kg/day Maximum recommended dosage = 25 mg/kg/day
Minimum total daily dose = 20 mg/kg/day × 20 kg = 400 mg/day Maximum total daily dose = 25 mg/kg/day × 20 kg = 500 mg/day
The prescribed dosage is 100 mg every 8 hours, which means 300 mg per day (100 mg × 3 times a day). As 300 mg is below the minimum recommended total daily dose (400 mg) for a toddler weighing 20 kg, the nurse should determine that the prescribed dosage is insufficient to achieve the desired effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["10"]
Explanation
Volume (ml)= Desired dose (mg) / Available concentration per ml Concentration per ml= 250mg/5ml= 50mg/ml
Volume (ml)= 500mg/50mg/ml
Volume is 10mls. The nurse should administer 10mls every 12hr
Correct Answer is B
Explanation
A. Admitting the client is necessary to prevent the spread of infection and provide a controlled environment for the child.
B. Measuring the head circumference is not typically necessary for bacterial meningitis as the sutures are closed raised intracranial pressure does not affect circumference.
C. Seizures can be a complication of bacterial meningitis, so this intervention is important to ensure the child's safety.
D. The semi-Fowler’s position helps to decrease ICP and facilitate breathing, which is crucial in the care of a child with bacterial meningitis.
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