A nurse is preparing to administer phenytoin 5 mg/kg/day PO divided in equal doses every 12 hr to a school-age child who weighs 38 lb. Available is phenytoin 50 mg chewable tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Us a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1"]

To calculate the dosage of phenytoin for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 38 lb, which is approximately 17.27 kg (38 lb / 2.2). Next, multiply the child's weight in kilograms by the dosage prescribed: 5 mg/kg/day. For this child, that would be 86.36 mg/day (17.27 kg * 5 mg/kg). Since the dose is divided every 12 hours, the amount per dose would be 43.18 mg (86.36 mg/day divided by 2). With phenytoin 50 mg chewable tablets available, the nurse would administer one tablet per dose.

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Correct Answer is ["3"]

Explanation

To determine the number of capsules the nurse should administer, divide the prescribed dose of pancrelipase by the amount available per capsule. The calculation is as follows: 12,600 units prescribed divided by 4,200 units per capsule equals exactly 3 capsules. Therefore, the nurse should administer 3 capsules of pancrelipase with each meal.

Correct Answer is ["2"]

Explanation

To calculate the dosage of haloperidol for the child, first determine the total daily dose by multiplying the child's weight by the prescribed amount per kilogram. For a child weighing 40 kg, this would be 0.15 mg/kg/day * 40 kg, which equals 6 mg/day. Since the medication is to be administered in divided doses every 8 hours, divide the total daily dose by the number of doses per day. There are 24 hours in a day, so with doses every 8 hours, that's 3 doses per day. Therefore, 6 mg/day divided by 3 doses per day equals 2 mg per dose.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["3"]

Explanation

Correct Answer is ["2"]

Explanation

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