Order: Fluconazole (Diflucan) 5 mg/kg p.o. every day.
The label on the bottle reads "50 mg/tablet." Calculate how many capsules you should administer for a child who weighs 44 pounds.
The Correct Answer is ["2"]
To calculate the dose of fluconazole for a child who weighs 44 pounds, you need to convert the weight to kilograms and the dose to milligrams.
One kilogram is equal to 2.2 pounds, so 44 pounds is 44 / 2.2 = 20 kilograms.
The dose of fluconazole is 5 mg/kg, so 5 mg x 20 kg = 100 mg.
The label on the bottle says that each tablet contains 50 mg of fluconazole, so you need to divide the dose by the tablet strength to get the number of tablets. 100 mg / 50 mg = 2 tablets.
Therefore, you should administer two tablets of fluconazole once a day for this child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer the dose since the patient is not toxic.
This is not the appropriate action. With a drowsy patient and a high serum phenytoin level, there is a concern for toxicity. Administering the next dose could worsen the toxicity.
B. Contact the provider to discuss decreasing the phenytoin dose.
While adjusting the dose may be a consideration, the immediate action should be to withhold the next dose and report the elevated level to the healthcare provider. The provider can then determine the appropriate course of action.
C. Give the drug and monitor closely for adverse effects.
Giving the drug without further intervention is not appropriate when there are signs of potential toxicity, such as drowsiness. Monitoring alone is not sufficient in this case.
D. Report drug toxicity to the providers.
This is the correct choice. With a drowsy patient and a serum phenytoin level of 18 mcg/mL, which is considered high, reporting the drug toxicity to the healthcare provider is the immediate and appropriate action. The provider can then determine the next steps, such as adjusting the dose or ordering additional tests.
Correct Answer is ["A","C","E"]
Explanation
A. Bradycardia
Bradycardia (slow heart rate) is a symptom of cholinergic crisis. Excessive stimulation of acetylcholine receptors can lead to bradycardia.
B. Rash
Rash is not typically associated with cholinergic crisis. Instead, it may be associated with other conditions or drug reactions.
C. Vomiting
Vomiting is a symptom of cholinergic crisis. Excessive stimulation of the gastrointestinal tract by acetylcholine can lead to increased gastrointestinal motility and nausea/vomiting.
D. Fever
Fever is not typically associated with cholinergic crisis. Instead, it may suggest an infection or other inflammatory condition.
E. Drooling
Drooling is a symptom of cholinergic crisis. Excessive stimulation of salivary glands by acetylcholine can lead to increased salivation and drooling.
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