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 determines the prescription is insufficient to achieve the desired effect.
The nurse administers the prescribed dosage.
The nurse contacts the pharmacist to adjust the prescribed dosage.
The Correct Answer is B
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 per day is below the recommended range.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis. It helps to neutralize excess acid in the blood, which is not the issue in respiratory alkalosis where the problem is a deficit of CO₂, not an excess of acid.
B. Placing the head between the knees might help with dizziness or lightheadedness but does not address the underlying issue of hyperventilation or help with CO₂ retention.
C. Breathing into a paper bag can help the client re-breathe exhaled CO₂, which helps to correct the imbalance caused by hyperventilation. This method assists in raising CO₂ levels in the blood, which can help normalize the pH and alleviate symptoms of respiratory alkalosis.
D. Insulin is used to manage blood glucose levels in diabetes and is not relevant to the treatment of respiratory alkalosis.
Correct Answer is ["0.8"]
Explanation
(desired dose / available dose) x available quantity.
For this scenario, it would be (100 mg / 250 mg) x 2 mL, which equals 0.8 mL.
Therefore, the nurse should administer 0.8 mL of hydrocortisone per dose to deliver the prescribed 100 mg dosage.
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