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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: This is not a valid basis for the nurse's response, as it implies that the child sleeps with the parents because of a lack of attention during the day. This may not be the case, and it may also offend the parents by questioning their parenting skills.

Choice B reason: This is a valid basis for the nurse's response, as it acknowledges the diversity and variability of family practices and preferences. It also shows respect and sensitivity for the parents' and the child's needs and comfort.

Choice C reason: This is not a valid basis for the nurse's response, as it is false and exaggerated. Sleeping with one's children is not illegal or abusive, unless there is evidence of harm or neglect. It may also alarm and anger the parents by accusing them of a crime.

Choice D reason: This is not a valid basis for the nurse's response, as it is based on a rigid and arbitrary developmental milestone. There is no fixed age for separating from parents, and it may vary depending on the child's temperament, attachment, and environment. It may also pressure and guilt the parents by implying that they are delaying their child's growth.

A. The child's current vital signs are consistent with vital signs over the past 4 hours. B. The child becomes quiet when held and cuddled. C. The child has just returned from the recovery room. D. The child is lying rigidly in bed and not moving.

Correct Answer is D

Explanation

Choice A reason: The child's current vital signs are consistent with vital signs over the past 4 hours. This does not indicate that the child is in pain, as the vital signs may be within normal range or stable.

Choice B reason: The child becomes quiet when held and cuddled. This may indicate that the child is comforted by the nurse's presence and touch, not that the child is in pain.

Choice C reason: The child has just returned from the recovery room. This may indicate that the child is still under the influence of anesthesia or sedation, not that the child is in pain.

Choice D reason: The child is lying rigidly in bed and not moving. This is a sign of pain in children, as they may try to avoid movement or stimulation that could worsen their pain. The nurse should assess the child's pain level and administer pain medication as prescribed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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