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?

Budesonide .25 mg inhalation 2 times daily

Amoxicillin 250 mg PO q8h

Montelukast 4 mg PO daily

Albuterol 2.5 mg inhalation q8h

Answer and Explanation

The Correct Answer is A

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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Correct Answer is ["1.3"]

Explanation

Step-by-step calculation:

The child's weight is 55 lb.

The medication dosage is 2 mg/kg.

The available medication concentration is 40 mg/mL.

Calculating the total dose in mg:

Convert the child's weight to kg: 55 lb ÷ 2.2 lb/kg = 25 kg

Calculate the total dose: 25 kg × 2 mg/kg = 50 mg

Calculating the volume to administer:

Use the concentration of the medication: 50 mg ÷ 40 mg/mL = 1.25 mL

Rounding the answer:1.25 rounds to 1.3 mL

Correct Answer is ["0.73"]

Explanation

Step 1: Convert the toddler's weight from pounds to kilograms.

The conversion factor is 1 kg = 2.2 lb.

Weight in kg= 32/2.2≈14.55 kg

Step 2: Calculate the required dose of ondansetron in mg.

Total dose of ondansetron needed:

Dose in mg=0.1 mg/kg×14.55 kg=1.455 mg

Step 3: Determine the volume of ondansetron to administer.

To determine how many mL the nurse should administer, we use the formula:

Volume (mL)=Dose in mg/Concentration in mg/mL=1.455 mg/2 mg/mL=0.7275 mL

Step 4: Round the answer.

Rounding off 0.7275 mL gives 0.73 mL.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer gentamicin 2 mg/kg IM to a school-age child who weighs 55 lb. Available gentamicin injection 40 is mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["1.3"]

Explanation

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.)

Correct Answer is ["0.73"]

Explanation

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