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 action by the nurse is appropriate?
The nurse determines the prescription is insufficient to achieve the desired effect.
The nurse determines the prescription is above the recommended dosage range.
The nurse contacts the pharmacist to adjust the prescribed dosage.
The nurse administers the prescribed dosage.
The Correct Answer is A
A. According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg). Therefore, the prescribed dosage of 300 mg/day is below the recommended range.
B. The nurse determines the prescription is above the recommended dosage range. This is incorrect because the prescribed dosage is actually below the recommended range.
C. The nurse contacts the pharmacist to adjust the prescribed dosage. This would be an appropriate action since the prescribed dosage does not meet the recommended range, and collaboration with the pharmacist could ensure the correct dosage is administered.
D. The nurse administers the prescribed dosage. This would not be appropriate without first addressing the discrepancy between the prescribed dosage and the recommended range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Pale yellow urine would not be expected, as dehydration often leads to concentrated, dark urine.
B. Flat neck veins are a sign of dehydration and decreased fluid volume.
C. Hypotension is expected with dehydration due to a drop in circulating blood volume.
D. Poor skin turgor is a common indicator of dehydration as the skin loses elasticity.
E. Bradycardia is not expected; rather, tachycardia is more common in dehydration as the body tries to compensate for fluid loss.
Correct Answer is ["0.8"]
Explanation
To administer the correct dose of morphine sulfate, which is prescribed at 8 mg stat, and given that the medication ampule concentration is 10 mg/mL, the nurse would need to calculate the volume of medication to administer. The calculation is based on the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Therefore, for an 8 mg dose, the nurse would prepare 0.8 mL of morphine sulfate to administer, rounding to the nearest tenth.
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