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Author Question: The nurse is calculating the medication dose for a 4-year-old child by plotting the child's height ... (Read 86 times)

ahriuashd

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The nurse is calculating the medication dose for a 4-year-old child by plotting the child's height and weight on a nomogram, then drawing a line between the two points. The point at which the line intersects the surface area line is the child's BSA.
 
  The dose is calculated using the BSA. What does this calculation represent?
  1. Body weight method
  2. Ageweight method
  3. Pharmacokinetic method
  4. Body surface area method

Question 2

The nurse is following the guidelines established by American Academy of Pediatrics (2007) when administering mediations to pediatric patients. Which nursing action is included in the guidelines?
 
  1. Confirm the client's identity before administering the first dose of the shift.
  2. Remember that all medication ordering and dispensing systems are the same in all facilities.
  3. Check medication calculations with another professional.
  4. Verify drug orders after medication administration.



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Chou

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Answer to Question 1

Correct Answer: 4
Rationale 1: The formula for the body weight method is mg/kg/day.
Rationale 2: This method is based on the child's height and weight, not age.
Rationale 3: The methods of calculating pediatric doses do not include a pharmacokinetic method.
Rationale 4: The body surface area is the correct formula. It accounts for the pharmacokinetic differences in pediatric medication.
Global Rationale: The body surface area is the correct formula. It accounts for the pharmacokinetic differences in pediatric medication. The formula for the body weight method is mg/kg/day. The BSA method is based on the child's height and weight, not age. The methods of calculating pediatric doses do not include a pharmacokinetic method.

Answer to Question 2

Correct Answer: 3
Rationale 1: The nurse should always confirm the client's identity before administering any medication.
Rationale 2: Medication ordering and dispensing systems vary from facility to facility.
Rationale 3: The nurse should always have another professional check calculations. Anyone can make a mathematical error.
Rationale 4: Drug orders should be verified before administration. Verifying drug orders after medication administration would be too late to prevent an error.
Global Rationale: The nurse should always have another professional check calculations. Anyone can make a mathematical error. The nurse should always confirm the client's identity before administering any medication. Medication ordering and dispensing systems vary from facility to facility. Drug orders should be verified before administration. Verifying drug orders after medication administration would be too late to prevent an error.





 

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