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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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

Step-by-step calculation:

Convert to milliliters (mL) to teaspoons (tsp).

The conversion factor is: 1 teaspoon (tsp) = 5 milliliters (mL)

Performing the calculation:

Divide the given milliliters by the conversion factor:

7.5 mL ÷ 5 mL/tsp = 1.5 tsp

Rounding the answer: 1.5 is already rounded to the nearest tenth.

Correct Answer is ["35"]

Explanation

Step by step calculation:

Calculating the total dose in mg:

Convert the child's weight to kg: 77 lb ÷ 2.2 lb/kg = 35 kg

Calculate the total dose: 35 kg × 40 mg/kg = 1400 mg

Calculating the volume to administer:

Use the concentration of the medication: 1400 mg ÷ 40 mg/mL = 35 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["1.5"]

Explanation

Correct Answer is ["35"]

Explanation

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