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.
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Related Questions
Correct Answer is A
Explanation
The practice as it helps prevent the backflow of stomach contents into the esophagus, which is beneficial for infants with gastroesophageal reflux.
B. This statement does not necessarily indicate an understanding of the teaching. Breast milk or formula can be used for infants with reflux; however, some formulas are designed to be easier to digest or less likely to cause reflux.
C. This is not generally recommended for infants with reflux. The safest position for all infants, including those with reflux, is on their back to reduce the risk of sudden infant death syndrome (SIDS).
D. This may be recommended in some cases to help reduce the symptoms of reflux. However, it's important to do this under the guidance of a healthcare provider to ensure it's done safely and appropriately. Thickening formula should be done with caution as it can increase the risk of choking.
Correct Answer is C
Explanation
C. This statement emphasizes to the child that they are not responsible for the abuse they have experienced, helping to alleviate feelings of guilt or self-blame. This can provide validation and comfort to the child during a traumatic experience.
A. Involving the family in the discussion might not be appropriate if the family member is the perpetrator. The safety and well-being of the child should be the priority
B. This statement may make the child feel more isolated and conflicted about their feelings toward their family. It's important to acknowledge the abuse without placing blame or judgment on the family.
D. This statement undermines the nurse's duty to report suspected cases of child abuse to the appropriate authorities. Confidentiality cannot be guaranteed in cases of suspected abuse, as healthcare professionals are mandated reporters obligated to report any suspicions or evidence of abuse to protect the child's safety and well-being.
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