A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?
The nurse determines the prescription is above the recommended dosage range.
The nurse administers the prescribed dosage.
The nurse contacts the pharmacist to adjust the prescribed dosage.
The nurse determines the prescription is insufficient to achieve the desired effect.
The Correct Answer is B
A. A dose of 100 mg every 8 hours would be appropriate and within the recommended range.
B. For a toddler weighing 20 kg, the correct dosage of amoxicillin, according to the recommended range of 20 to 25 mg/kg/day, would be 400 to 500 mg per day, divided into three doses. Therefore, a dose of 100 mg every 8 hours would be appropriate and within the recommended range.
C. A dose of 100 mg every 8 hours would be appropriate and within the recommended range.
D. A dose of 100 mg every 8 hours would be appropriate and within the recommended range.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Following one-step directions is more characteristic of toddlers, while preschoolers can follow multi-step directions.
B. Recognizing oneself in a mirror typically occurs in infants or toddlers.
C. Collecting items is usually a hobby or behavior observed in older children, not preschoolers.
D. Associative play, where children play together but may not have organized rules or structure, is a developmental milestone expected in preschoolers.
Correct Answer is ["562.5"]
Explanation
To calculate the safe dosage for the patient, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 33 pounds, which is approximately 15 kilograms (33 / 2.2). According to the drug guide, the safe dosage is 75 mg/kg/day. For a child weighing 15 kg, the total safe daily dosage would be 1125 mg (15 kg * 75 mg/kg). Since the medication is to be divided into two doses per day (every 12 hours), the safe single dose would be half of the daily dosage, which is 562.5 mg.
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