The nurse is confirming a pediatric dose from an adult dose sent from the pharmacy.
What is an accurate method for calculating the child's dose?
Body surface area (BSA)
Actual body weight
Ideal body weight (BW)
Actual body height
The Correct Answer is B
This is the most commonly used method for calculating pediatric doses, especially for medications that are weight-based. The pediatric dose is typically calculated as a fraction or percentage of the adult dose based on the child's weight. For example, if the adult dose is 100mg and the child weighs 50kg, the child's dose may be calculated as 50mg (50% of the adult dose). Actual body weight takes into account the child's current weight, which can be an important factor in determining the appropriate dose.
Reasons why the other choices are not answers:
A. Body surface area is a method for calculating pediatric doses, but it is typically used for medications that are associated with toxicity or have a narrow therapeutic index.
C. Ideal body weight is an estimate of what a person's weight should be based on their height and gender, rather than their actual weight. It may be used in situations where a child is significantly overweight or underweight, but it is rarely used for pediatric dosing.
D. Actual body height is rarely used for pediatric dosing, as it does not take into account the child's weight or other important factors. It may be used in certain situations, such as when dosing growth hormone therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C, 3 tablets. To calculate the number of tablets, divide the ordered dose by the available dose:
75 mg ÷ 25 mg = 3
The nurse should administer 3 tablets of Coumadin 25 mg to the patient to give a total dose of 75 mg.
Correct Answer is A
Explanation
The infusion was started at 06:57 and completed at 15:45, which is a total time of: 15 hours and 45 minutes - 6 hours and 57 minutes = 8 hours and 48 minutes
To calculate the flow rate, we need to know the total amount of fluid infused and divide it by the total time of infusion:
1 L = 1000 mL
Total time of infusion = 8 hours and 48 minutes = 528 minutes Flow rate = Total amount of fluid infused / Total time of infusion Flow rate = 1000 mL / 528 minutes
Flow rate = 1.89394 mL/min
To convert mL/min to mL/hr, we multiply by 60:
Flow rate = 1.89394 mL/min x 60 min/hr Flow rate = 113.6364 mL/hr
Therefore, the flow rate of infusion in this situation is approximately 114 mL/hr, which corresponds to option A.
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