A prescriber has ordered medication for a newborn that is eliminated primarily by hepatic metabolism. What would the nurse expect the prescriber to order?

A Increase the frequency of medication dosing.

B Order a dose that is higher than an adult dose.

Discontinue the drug after one or two treatments.

D Order a dose that is lower than an adult dose.

Answer and Explanation

The Correct Answer is D

a) Increasing the frequency of medication dosing may lead to higher overall exposure and is not necessarily related to hepatic metabolism.

b) Ordering a dose that is higher than an adult dose could result in excessive drug levels, especially in a newborn with immature hepatic function.

c) Discontinuing the drug after one or two treatments may not be necessary if the dose is appropriately adjusted based on hepatic metabolism.

d) Ordering a lower dose is appropriate because hepatic metabolism in newborns is often immature, and lower doses are required to avoid toxicity.

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Correct Answer is B

Explanation

a) The symptoms described are indicative of hypoglycemia, and addressing the client's emotional state or offering to listen does not address the immediate medical issue.

b) Checking the blood glucose level is crucial to determine if the symptoms are due to hypoglycemia, and providing carbohydrates can help raise the blood sugar level promptly.

c) Assuming a panic attack without assessing the potential hypoglycemic state could delay appropriate intervention.

d) The symptoms described are not consistent with an allergic reaction, so giving diphenhydramine is not the appropriate response.

A. Discuss possible opiate dependence with the client's provider. B. Note the effectiveness of the analgesia in the client's chart. C. Encourage the client to turn over, and cough and take deep breaths. D. Prepare to administer naloxone and provide respiratory support.

Correct Answer is D

Explanation

a) While discussing possible opiate dependence is important, the immediate concern is the client's respiratory depression and altered level of consciousness, which may require naloxone administration.

b) Noting the effectiveness of analgesia is relevant but does not address the current respiratory depression and lethargy observed in the client.

c) Encouraging the client to turn over and cough may not be effective in addressing severe respiratory depression, and immediate intervention is needed.

d) The client's symptoms, including drowsiness, lethargy, pinpoint pupils, and respiratory depression, are consistent with opioid overdose. Naloxone is the antidote for opioid toxicity and should be administered promptly.

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A prescriber has ordered medication for a newborn that is eliminated primarily by hepatic metabolism. What would the nurse expect the prescriber to order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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