When determining weight-based medication dosages, the nurse should use the patient's
The Correct Answer is {"dropdown-group-1":"C"}
A. Birth: Birth weight is only relevant for neonates and infants when calculating neonatal or pediatric dosages. It is not appropriate for current dosing in older children or adults.
B. Stated: A patient’s stated weight may be inaccurate due to misestimation or recall errors. Relying solely on what the patient reports can lead to incorrect dosing.
C. Current: The patient’s current, measured weight is used to calculate weight-based medication dosages. Accurate, up-to-date measurements ensure safe and effective dosing, especially for medications with narrow therapeutic windows.
D. Estimated: Estimating a patient’s weight is only used in emergency situations when actual measurement is impossible. Whenever feasible, the actual current weight should be used for precise dosing calculations.
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Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. ODTS dissolve on the tongue for rapid absorption: Orally disintegrating tablets (ODTs) are designed to dissolve quickly in the mouth, allowing faster onset of action through absorption in the oral mucosa. This form is useful for clients who have difficulty swallowing.
B. Enteric-coated medications can be crushed: Enteric-coated tablets are formulated to resist stomach acid and dissolve in the intestine. Crushing them destroys the coating, potentially causing gastric irritation and altering drug absorption.
C. Powdered medications require reconstitution for IV administration: Some medications are supplied in powdered form to maintain stability and sterility. Reconstitution with a compatible diluent is required before IV administration to ensure correct concentration and safe delivery.
D. Enteral medications are given through the digestive tract: Enteral administration includes oral, nasogastric, or gastrostomy routes, delivering medications directly into the gastrointestinal tract for absorption.
E. Parenteral routes are given through the digestive tract: Parenteral administration bypasses the digestive system and involves routes such as intravenous, intramuscular, or subcutaneous injection.
Correct Answer is C
Explanation
Calculation:
- Identify the child’s weight and recommended dose range
Weight: 27 kg
Recommended dose: 25–50 mg/kg/day
- Calculate the safe dosage range
Minimum dose = 25 × 27
= 675 mg/day
Maximum dose = 50 × 27
= 1350 mg/day
Safe range = 675–1350 mg/day
- Compare the ordered dose to the safe range
Ordered Dose: 150 mg/day
150 mg is below the minimum recommended dose of 675 mg/day. The ordered dose is subtherapeutic and may not provide adequate treatment.
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