Which of the following is an appropriate ibuprofen dose for a 9-year-old patient weighing 49 lb? Hint: Children's ibuprofen dose-5-10 mg/kg every 6-8 hours
200 mg every 6-8/tmos
250 mg every 6-8hopss
100 mg every 6-8
75 mg every 6-8 hours
The Correct Answer is A
A. 200 mg every 6–8 hours: The child weighs 49 lb, which is approximately 22.3 kg (49 ÷ 2.2). Using the recommended pediatric ibuprofen dose of 5–10 mg/kg, the dose range is 111–223 mg per dose. A 200 mg dose falls within this safe and effective range, making it appropriate for the child.
B. 250 mg every 6–8 hours: This dose exceeds the upper limit of the recommended 5–10 mg/kg range for a 22.3 kg child. Administering 250 mg could increase the risk of adverse effects such as gastrointestinal irritation or kidney stress.
C. 100 mg every 6–8 hours: This dose is below the minimum recommended dose (111 mg) for a 22.3 kg child, which may result in subtherapeutic effects and inadequate pain or fever control.
D. 75 mg every 6–8 hours: This dose is significantly lower than the recommended range and is unlikely to provide effective symptom relief. Using such a low dose may require more frequent dosing, increasing the risk of dosing errors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. What causes you to nap during the day?: Asking about daytime napping helps the pharmacist understand the pattern, timing, and triggers of the client’s sleep disturbances. Excessive napping can disrupt nighttime sleep, contribute to insomnia, and indicate underlying sleep disorders such as sleep apnea, restless leg syndrome, or circadian rhythm disruption.
B. What does the doctor say is causing your sleep disorder?: While this provides context, it does not give detailed information about the client’s actual sleep behaviors, timing, or patterns, which are critical for tailoring interventions or recommending safe pharmacologic options.
C. What is your birthday?: A client’s birth date is irrelevant to understanding sleep patterns and does not contribute to assessing insomnia characteristics.
D. What allergies do you have?: Allergies are important for safety when recommending medications, but they do not provide insight into the client’s sleep habits or patterns and therefore do not address the primary concern of characterizing insomnia.
Correct Answer is C
Explanation
A. Patient is 13 years old: Adolescents can generally use self-care measures for mild musculoskeletal pain if no red flags are present. Age alone, especially above 12 years, does not automatically exclude a patient from appropriate OTC or non-pharmacologic management.
B. Arm pain that has lasted 5 days: Acute musculoskeletal pain lasting less than 7 days without worsening severity or associated complications is typically appropriate for self-treatment. Monitoring and conservative management are usually sufficient within this timeframe.
C. Pelvic pain for 3 days: Pelvic pain is not typically classified as simple musculoskeletal pain and may indicate underlying conditions involving reproductive, urinary, or gastrointestinal systems. This requires further medical evaluation rather than self-care, making it an exclusion.
D. Pain Scale Score 4/10: Mild to moderate pain (generally ≤5/10) is considered appropriate for self-care with analgesics and supportive measures. This level of pain does not suggest severe pathology requiring immediate medical evaluation.
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