A 15-month-old toddler is admitted with pneumonia and is started on PO Amoxicillin. The child weighs 11 kg. The safe dose range is 20-40 mg/kg/day. Which dose is safe?
100 mg PO q8 hours
350 mg PO q 8 hours
220 mg PO q8 hours
500 mg PO q8 hours
The Correct Answer is A
Choice A: 100 mg PO q8 hours - This would give a total of 300 mg per day. Given the child's weight of 11 kg, this results in a dosage of about 27 mg/kg/day, which is within the safe range of 20-40 mg/kg/day.
Choice B: 350 mg PO q8 hours - This would give a total of 1050 mg per day. This results in a dosage of about 95 mg/kg/day, which is more than twice the upper limit of the safe range.
Choice C: 220 mg PO q8 hours - This would give a total of 660 mg per day. This results in a dosage of about 60 mg/kg/day, which is above the safe range.
Choice D: 500 mg PO q8 hours - This would give a total of 1500 mg per day. This results in a dosage of about 136 mg/kg/day, which is more than three times the upper limit of the safe range.
Therefore, the only safe dosage among these options is 100 mg PO q8 hours. Always remember to double-check dosages and consult with a healthcare professional if you're unsure. Safety is paramount when it comes to medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement is true because children, especially young children, may have difficulty expressing their pain or may be ignored by health care providers who underestimate their pain. Therefore, they may not receive adequate pain relief.
Choice B reason: This statement is false because children experience pain with procedures just as much as adults, if not more. Children may have more fear and anxiety associated with pain, which can amplify their perception of pain.
Choice C reason: This statement is false because infants experience pain as much as older children and adults. Infants have a fully developed nervous system that can sense and respond to pain stimuli. Infants may also have more long-term effects of pain, such as altered pain sensitivity and behavioral problems.
Choice D reason: This statement is false because children have a very low risk of becoming addicted to narcotics when they are used appropriately for pain management. Addiction is a psychological phenomenon that involves craving and compulsive use of a substance, which is rare in children who receive narcotics for pain relief.
Correct Answer is D
Explanation
Choice A reason: The child has a high fever is not a correct answer because fever is not a specific sign of croup. Fever can occur in many respiratory infections, such as bronchiolitis, pneumonia, or tonsillitis.
Choice B reason: Wheezing is heard audibly is not a correct answer because wheezing is not a characteristic feature of croup. Wheezing is more common in asthma or bronchiolitis, which affect the lower airways.
Choice C reason: It is bacterial in nature is not a correct answer because croup is usually caused by a virus, such as parainfluenza, adenovirus, or respiratory syncytial virus. Bacterial croup is rare and more severe, requiring hospitalization and antibiotics.
Choice D reason: It has a harsh, barking cough is the correct answer because it is the most distinctive symptom of croup. The cough is caused by the inflammation and narrowing of the larynx and trachea, which produce a sound similar to a seal's bark.
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