A nurse is reviewing the medication administration record for a toddler who weighs 30 kg (66.1 lb). The nurse should identify that which of the following prescriptions requires further clarification?

Budesonide .25 mg inhalation 2 times daily

Amoxicillin 250 mg PO q8h

Montelukast 4 mg PO daily

Albuterol 2.5 mg inhalation q8h

Answer and Explanation

The Correct Answer is B

A) Budesonide 0.25 mg inhalation 2 times daily:
Budesonide is a corticosteroid often used in the management of asthma or other respiratory conditions in children. The prescribed dosage of 0.25 mg inhalation twice daily is within typical pediatric dosages for this medication and would be appropriate for a toddler. This dose is not unusual and would not require further clarification, assuming the prescribed dosage form is correct.
B) Amoxicillin 250 mg PO q8h:
Amoxicillin dosing is typically based on the child’s weight. For a toddler weighing 30 kg, a standard dose of amoxicillin would generally range from 25 to 45 mg/kg/day in divided doses. A total daily dose of 750 mg (250 mg three times a day) exceeds typical weight-based recommendations for a child of this size, which generally would be closer to 600 mg or less. This suggests that the prescribed dose may be too high for a toddler weighing 30 kg, requiring clarification from the prescribing healthcare provider.
C) Montelukast 4 mg PO daily:
Montelukast is commonly prescribed for pediatric asthma or allergic rhinitis. The 4 mg daily dose is consistent with recommendations for children ages 2 to 5 years old, which makes this prescription appropriate. There is no indication that this dose is outside the recommended range, so no clarification is necessary for this prescription.
D) Albuterol 2.5 mg inhalation q8h:
Albuterol is commonly used as a bronchodilator for children with asthma or other respiratory issues. The prescribed dose of 2.5 mg per inhalation, given every 8 hours, is within the standard dosage for pediatric patients. This dosing is typical for children older than 2 years and would not require further clarification. The prescription is safe and appropriate for a toddler of this weight.

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Correct Answer is ["0.5"]

Explanation

Convert the child's weight from pounds to kilograms:

55 lb÷2.2=25 kg.

Calculate the total daily dose in mg:

0.3 mg/kg/day×25 kg=7.5 mg/day.

Determine the dose per administration:

The medication is to be given every 8 hours, which equals 3 doses per day.

7.5 mg/day÷3=2.5 mg/dose.

Calculate the number of tablets per dose:

Each tablet contains 5 mg.

2.5 mg÷5 mg/tablet=0.5 tablets.

Round to the nearest tenth:

0.5 tablets

Correct Answer is ["1.6"]

Explanation

Step by step calculation:

The child's weight is 36 lb.

The medication dosage is 1 mg/kg.

The available medication concentration is 10 mg/mL.

Calculating the total dose in mg:

Convert the child's weight to kg: 36 lb ÷ 2.2 lb/kg = 16.36 kg

Calculate the total dose: 16.36 kg × 1 mg/kg = 16.36 mg

Calculating the volume to administer:

Use the concentration of the medication: 16.36 mg ÷ 10 mg/mL = 1.636 mL

Rounding the answer:

1.636 rounds to 1.6 mL

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A nurse is reviewing the medication administration record for a toddler who weighs 30 kg (66.1 lb). The nurse should identify that which of the following prescriptions requires further clarification?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.5"]

Explanation

A nurse is preparing to administer furosemide 1 mg/kg IV bolus to a preschooler who weighs 36 lb. Available is furosemide injection 10 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.6"]

Explanation

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