A nurse on a pediatric unit is implementing a prescription for dexamethasone solution 0.3 mg/kg now. Which of the following additional Information should the nurse have to interpret this prescription and administer this medication? (Select all that apply.)

Frequency

Strength of solution

Route

Brand name

Weight of child

Answer and Explanation

Correct Answer : D

A. Frequency - This is essential to know how often the medication should be administered.

B. Strength of solution - The strength of the solution is crucial for calculating the correct dose based on the prescribed amount per kilogram of the child's weight.

C. Route - Knowing the route of administration is important to ensure the medication is given correctly. In this case, it's specified as a solution, suggesting it might be oral.

D. Brand name - While brand names can be relevant for certain medications, the generic name (dexamethasone, in this case) is usually sufficient for understanding and administering the medication.

E. Weight of child - This is crucial for calculating the correct dose since the prescription is based on a weight-dependent parameter (0.3 mg/kg).

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Free Nursing Study Resources

Correct Answer is ["1.8"]

Explanation

To calculate the correct dosage of gentamicin for a client who weighs 154 lb, the nurse needs to perform the following steps:

- Convert the client's weight from pounds to kilograms by dividing by 2.2. 154 lb / 2.2 = 70 kg.

- Multiply the client's weight in kilograms by the prescribed dose of 1 mg/kg. 70 kg x 1 mg/kg = 70 mg.

- Divide the total dose in milligrams by the concentration of the gentamicin solution, which is 40 mg/mL. 70 mg / 40 mg/mL = 1.75 mL.

Round the final answer to the nearest tenth of a milliliter. The nurse should administer 1.8 mL of gentamicin IM to the client.

Correct Answer is ["0.5"]

Explanation

To calculate the dosage of quinapril, the nurse needs to apply the formula: D/H x Q = X, where D is the desired dose, H is the dose on hand, Q is the quantity of the drug, and X is the amount to administer.

In this case, D = 20 mg, H = 40 mg, Q = 1 tablet, and X is unknown.

Plugging in the values, we get: 20/40 x 1 = X.

Simplifying, we get: 0.5 = X.

Therefore, the nurse should administer 0.5 tablets of quinapril.

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A nurse on a pediatric unit is implementing a prescription for dexamethasone solution 0.3 mg/kg now. Which of the following additional Information should the nurse have to interpret this prescription and administer this medication? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer gentamicin 1 mg/kg IM to a client who weighs 154 lb. Available is gentamicin solution 40 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 ["1.8"]

Explanation

A nurse is preparing to administer quinapril 20 mg PO Available is quinapril 40 mg tablets. How many tablets should the answer to the nearest tenth Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["0.5"]

Explanation

A nurse is preparing to administer chlorpromazine 12.5 mg IM to a client. Available is chlorpromazine 25 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.)

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