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A nurse is reviewing a prescription for ibuprofen 150 mg PO with the parent of a child. Available is ibuprofen suspension 100 mg/5 mL. How many tsp should the nurse advise the parent to administer to the child? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

The Correct Answer is ["1.5"]

Step-by-step calculation:

The desired dose of ibuprofen is 150 mg.

The available medication concentration is 100 mg/5 mL.

We need to convert mL to tsp.

Calculating the volume to administer in mL:

Use the concentration of the medication: 150 mg ÷ (100 mg/5 mL) = 150 mg ÷ 20 mg/mL = 7.5 mL

Converting mL to tsp:

1 tsp = 5 mL

7.5 mL ÷ 5 mL/tsp = 1.5 tsp

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Correct Answer is ["0.042"]

Explanation

Step-by-step calculation:

The desired dose of fluconazole is 42 mg.

We need to convert milligrams to grams.

Converting milligrams to grams:

1 g = 1000 mg

42 mg ÷ 1000 mg/g = 0.042 g

A. Budesonide .25 mg inhalation 2 times daily B. Amoxicillin 250 mg PO q8h C. Montelukast 4 mg PO daily D. Albuterol 2.5 mg inhalation q8h

Correct Answer is A

Explanation

Answer: A. Budesonide 0.25 mg inhalation 2 times daily

Rationale:

A. Budesonide 0.25 mg inhalation 2 times daily:
While budesonide 0.25 mg is commonly prescribed for young children, a toddler weighing 30 kg exceeds the typical weight range for which this low dose is intended. Higher doses may be needed, and the dose should be clarified in relation to the child's size and clinical condition. The provider should confirm whether this is the appropriate dose.

B. Amoxicillin 250 mg PO q8h:
This is a commonly accepted pediatric dose for a toddler and generally falls within the safe dosage range for a child of 30 kg, especially when treating common infections. It does not require clarification.

C. Montelukast 4 mg PO daily:
Montelukast 4 mg is the standard daily dose for children aged 2–5 years. For a toddler (under 6), even if the weight is high, this dose is consistent with guidelines and doesn't require clarification.

D. Albuterol 2.5 mg inhalation q8h:
Albuterol 2.5 mg per nebulizer treatment is a standard dose for children, including toddlers, and can be safely administered every 6 to 8 hours. No clarification is needed for this order.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer fluconazole 42 mg PO to an infant. The nurse should recognize that this is equivalent to how many g? (Round the answer to the nearest thousandth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.042"]

Explanation

A nurse is reviewing the medication administration record for a toddler who weighs 30 kg (66.1 lb). The nurse should identify that which of the following prescriptions requires further clarification?

Correct Answer is A

Explanation

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer 7.5 mL of ampicillin 250 mg oral suspension to a toddler who has otitis media. The nurse should recognize that 7.5 mL is equivalent to how many tsp? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer ondansetron 0.1 mg/kg IV bolus to a toddler who weighs 32 lb. Available is ondansetron injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer magnesium hydroxide 0.85 g PO to a school-age child. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)