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 insufficient to achieve the desired effect.
The nurse administers the prescribed dosage.
The nurse determines the prescription is above the recommended dosage range.
The nurse contacts the pharmacist to adjust the prescribed dosage.
The Correct Answer is A
To calculate the recommended dosage range for the toddler and compare it to the prescribed dose, we'll follow these steps:
Step 1: Calculate the recommended minimum daily dose:
Recommended Minimum Daily Dose = 20 mg/kg/day x 20 kg
Recommended Minimum Daily Dose = 400 mg/day
Step 2: Calculate the recommended maximum daily dose:
Recommended Maximum Daily Dose = 25 mg/kg/day x 20 kg
Recommended Maximum Daily Dose = 500 mg/day
Step 3: Calculate the prescribed daily dose:
Prescribed Daily Dose = 100 mg/dose x 3 doses/day
Prescribed Daily Dose = 300 mg/day
Step 4: Compare the prescribed dose to the recommended dosage range:
The prescribed daily dose (300 mg/day) is below the recommended minimum daily dose (400 mg/day).
Therefore, the nurse should:
The nurse should contact the health-care provider to request a dosage adjustment.
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Related Questions
Correct Answer is ["2"]
Explanation
To calculate the number of tablets needed, we'll set up a proportion:
x tablets / 100 mcg = 1 tablet / 50 mcg
Cross-multiplying:
50x = 100
Solving for x:
x = 100 / 50
x = 2
Therefore, the nurse should administer 2 tablets of levothyroxine daily.
Correct Answer is ["7"]
Explanation
To calculate the volume of amoxicillin to be administered, we can use the following formula:
Volume (mL) = Desired Dose (mg) / Concentration (mg/mL)
Plugging in the given values:
Volume (mL) = 350 mg / (250 mg/5 mL)
Volume (mL) = 350 mg x (5 mL / 250 mg)
Volume (mL) = 7 mL
Therefore, the nurse should administer 7 mL of amoxicillin.
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