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 contacts the pharmacist to adjust the prescribed dosage.
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 administers the prescribed dosage.
The Correct Answer is B
To calculate the appropriate dosage of amoxicillin for the toddler; Given:
Weight of the toddler = 20 kg
Recommended dosage range = 20 to 25 mg/kg/day Calculate the total daily dose:
Minimum recommended dosage = 20 mg/kg/day Maximum recommended dosage = 25 mg/kg/day
Minimum total daily dose = 20 mg/kg/day × 20 kg = 400 mg/day Maximum total daily dose = 25 mg/kg/day × 20 kg = 500 mg/day
The prescribed dosage is 100 mg every 8 hours, which means 300 mg per day (100 mg × 3 times a day). As 300 mg is below the minimum recommended total daily dose (400 mg) for a toddler weighing 20 kg, the nurse should determine that the prescribed dosage is insufficient to achieve the desired effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nephrotic syndrome is a renal condition characterized by increased permeability of the glomerular filtration barrier, leading to excessive protein loss in the urine. Cardinal features include : (proteinuria), hypoalbuminemia, edema, and hyperlipidemia.
B. Hypertension: While hypertension can occur in some cases of nephrotic syndrome, it is not a consistent finding.
C. Smokey brown urine: Smokey brown urine can be a sign of rhabdomyolysis or hemolysis, not nephrotic syndrome. In nephrotic syndrome, urine may appear foamy due to proteinuria
D. Polyuria: Polyuria is not a typical finding in nephrotic syndrome. Nephrotic syndrome is more commonly associated with oliguria (decreased urine output) due to decreased blood volume and activation of the renin-angiotensin-aldosterone system.
Correct Answer is ["A","B","C","D"]
Explanation
These findings indicate that the child is experiencing significant pain, which is concerning, especially considering the history of sickle cell anemia and the recent increase in pain despite previous management with acetaminophen. Chest pain could also be indicative of a vaso-occlusive crisis or a respiratory complication.
Nasal flaring and moderate subcostal and substernal retractions are noted:
Nasal flaring and retractions suggest increased work of breathing, which could indicate respiratory distress. In a child with sickle cell anemia, respiratory complications like acute chest syndrome are a significant concern during a vaso-occlusive crisis.
Bilateral, moderate inspiratory and expiratory wheezes noted upon auscultation:
Wheezing indicates airway obstruction or inflammation, which could be due to asthma exacerbation, infection, or acute chest syndrome, all of which are common complications in children with sickle cell disease.
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