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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.6"]
Explanation
Step 1: Determine the total dose of ceftriaxone to administer.
The total dose prescribed is 400 mg. This dose will be divided into two equal doses for the infant.
Step 2: Calculate the volume for each dose.
The available ceftriaxone solution has a concentration of 500 mg in 2 mL. This means that 500 mg is present in 2 mL, so each mL contains 250 mg of ceftriaxone.
To calculate how many mL are needed for the total dose of 400 mg, we use the following formula:
Volume (mL)=Dose in mg/Concentration in mg/mL=400 mg/250 mg/mL=1.6 mL
Step 3: Round the answer.
1.6 mL
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
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