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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Correct Answer is ["B","C"]
Explanation
A. A transdermal fentanyl patch is not appropriate for this situation, especially for a short procedure, as it requires time to reach therapeutic levels.
B. Applying EMLA cream (lidocaine/prilocaine) at least an hour prior to the procedure helps numb the skin, making the lumbar puncture less painful.
C. Offering a cup of juice and crackers can help distract the child and provide comfort during the waiting period.
D. Sedation is not typically necessary for a lumbar puncture in a preschool-age child unless there are specific concerns, and it is usually done with caution.
E. Placing tegaderm is unnecessary for the back area where the lumbar puncture will occur and does not contribute to pain management.
Correct Answer is C
Explanation
A. Bananas are not a significant source of iron; they provide potassium and other nutrients but are not helpful for increasing iron levels.
B. Cucumbers are low in iron and do not contribute to improving iron-deficiency anemia.
C. Tuna fish is a good source of iron, as well as providing protein and omega-3 fatty acids, making it a suitable recommendation for increasing iron in the child's diet.
D. Skim milk is low in iron and excessive dairy can inhibit iron absorption, so it is not advisable for increasing dietary iron.
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