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 A

Answer: A. Budesonide 0.25 mg inhalation 2 times daily

Rationale:

A. Budesonide 0.25 mg inhalation 2 times daily:
While budesonide 0.25 mg is commonly prescribed for young children, a toddler weighing 30 kg exceeds the typical weight range for which this low dose is intended. Higher doses may be needed, and the dose should be clarified in relation to the child's size and clinical condition. The provider should confirm whether this is the appropriate dose.

B. Amoxicillin 250 mg PO q8h:
This is a commonly accepted pediatric dose for a toddler and generally falls within the safe dosage range for a child of 30 kg, especially when treating common infections. It does not require clarification.

C. Montelukast 4 mg PO daily:
Montelukast 4 mg is the standard daily dose for children aged 2–5 years. For a toddler (under 6), even if the weight is high, this dose is consistent with guidelines and doesn't require clarification.

D. Albuterol 2.5 mg inhalation q8h:
Albuterol 2.5 mg per nebulizer treatment is a standard dose for children, including toddlers, and can be safely administered every 6 to 8 hours. No clarification is needed for this order.

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Free Nursing Study Resources

Correct Answer is ["850"]

Explanation

Step by step calculation:

The desired dose of magnesium hydroxide is 0.85 g.

We need to convert grams to milligrams.

Converting grams to milligrams:

1 g = 1000 mg

0.85 g x 1000 mg/g = 850 mg

Correct Answer is ["0.24"]

Explanation

Step 1: Convert the infant's weight from pounds to kilograms.

To convert pounds to kilograms, we use the conversion factor 1 kg = 2.2 lb.

Weight in kg= 21/2.2≈9.55 kg

Step 2: Calculate the total daily dose of clindamycin in mg.

Total dose in mg/day=15 mg/kg/day×9.55 kg=143.25 mg/day

Step 3: Divide the total daily dose into 4 equal doses (every 6 hours).

We divide the total daily dose by 4:

Dose per administration=143.25 mg/4=35.8125 mg/dose

Step 4: Determine the volume to administer per dose.

The available clindamycin phosphate injection concentration is 150 mg/mL. To determine how many mL the nurse should administer per dose, we use the following formula:

Volume (mL)=Dose in mg/Concentration in mg/mL=35.8125 mg/150 mg/mL=0.238 mL

Step 5: Round the answer.

Rounding off 0.238 mL gives 0.24 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

A nurse is preparing to administer magnesium hydroxide 0.85 g PO to a school-age child. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["850"]

Explanation

Correct Answer is ["0.24"]

Explanation

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