A child is ordered Phenytoin 75 mg po twice a day.

The reference safe dose is 7-9mg/kg/day

The child weighs 12kg

What is the minimum dose this child should receive per day?

Answer and Explanation

The Correct Answer is ["84"]

To determine the minimum dose for this child based on the reference safe dose range, follow these steps:

Reference safe dose range: Minimum dose = 7 mg/kg/day.

Child's weight: 12 kg.

Calculate the minimum dose:

Minimum dose=7 mg×12 kg=84 mg/day

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Correct Answer is D

Explanation

A. "Physical therapy will help me build up enough strength to do gymnastics." – Incorrect. Gymnastics is too high-impact for someone with brittle bones.

B. "I should tell my teachers that I cannot participate in physical education class." – Incorrect. Some low-impact activities may be beneficial, and complete avoidance of activity is not necessary.

C. "I can play sports as long as there is minimal contact with other players." – Incorrect. Even minor trauma can result in fractures, making sports risky.

D. "My bones may break easier than other people's, so I need to take precautions." – Correct. This demonstrates awareness of the condition and the importance of avoiding injury.

A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities B. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities C. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities D. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

Correct Answer is D

Explanation

A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta causes the opposite finding.

B. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Blood pressure in the lower extremities is reduced due to decreased blood flow.

C. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta leads to hypertension in the upper body due to increased resistance.

D. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Correct. Coarctation of the aorta causes high BP in the arms and low BP in the legs due to obstructed blood flow past the narrowing.

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A child is ordered Phenytoin 75 mg po twice a day. The reference safe dose is 7-9mg/kg/day The child weighs 12kg What is the minimum dose this child should receive per day?

Nursing Test Bank

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A child is ordered Phenytoin 75 mg po twice a day.

The reference safe dose is 7-9mg/kg/day

The child weighs 12kg

What is the minimum dose this child should receive per day?