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.

Answer and Explanation

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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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.

A. Speaks up to 20 words B. Engages in associative play with other children C. Drinks from a cup D. Walks independently E. Feeds themselves with a spoon

Correct Answer is ["B","E"]

Explanation

A. At 2 years old, toddlers typically have a vocabulary of about 50 words, not just 20.

B. Associative play begins around the age of 2, where toddlers play alongside other children and may start to engage with them, sharing toys and ideas.

C. While 2-year-olds can drink from a cup, this milestone is more typically expected earlier, around 12-15 months.

D. By 2 years, most toddlers walk independently, but this is more of a milestone for younger toddlers (around 12-15 months).

E. Feeding themselves with a spoon is an expected milestone for 2-year-olds, as they start to develop more independence in self-feeding.

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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?

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Naxlex Comprehensive Predictor Exams

An order of Rocephin 500 mg IV q 12 h has been ordered for a child who weighs 33 pounds. According to the drug guide, the safe dose for this medication is 75 mg/kg/day divided into q 12 h doses. What is the safe dosage (of a single dose) of this med for this patien?

Correct Answer is ["562.5"]

Explanation

A nurse is teaching a class about expected developmental milestones in 2-year-old toddlers. The nurse should include which of the following milestones?

Correct Answer is ["B","E"]

Explanation

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