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
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Correct Answer is D
Explanation
A. This statement is correct as the harness straps should fit snugly and be positioned at or above the child's shoulders for proper safety.
B. The middle of the back seat is indeed considered the safest position for a car seat.
C. Checking the security of the car seat before every trip is essential for ensuring the child’s safety.
D. Placing thick padding or blankets under the child is not recommended as it can interfere with the proper fit of the harness and increase the risk of injury in case of a collision.
Correct Answer is D
Explanation
A. Using medical jargon would likely confuse and scare the child.
B. Keeping medical equipment visible might increase anxiety, as young children can become fearful of unfamiliar objects.
C. Separating the child from their parent during the examination can increase fear and resistance, so it is better to keep the parent nearby for reassurance.
D. Allowing the child to role-play with medical equipment helps reduce anxiety, makes the experience more familiar, and increases cooperation during the assessment.
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