A prescriber has ordered a normal dose of drug X, which is highly ...

[bobypop]

A prescriber has ordered a normal dose of drug X, which is highly protein bound for an infant. Prior to administration the nurse should
 
  a. plan to administer the drug slowly.
  b. question the order for dosage reduction.
  c. question the order for a dosage increase.
  d. question the order for an alternate route.

Question 2

A prescriber has written an order for the administration of a topical drug for a pediatric patient. The most significant nursing implication in the administration of topical agents for the pediatric patient is
 
  a. topical agents are contraindicated for pediatric patients.
  b. topical agents are absorbed slowly and erratically.
  c. there is an increased risk of toxicity with the use of topical agents.
  d. there is a decreased risk of toxicity, because as topical agents are among the safest medications for children.

[stillxalice]

Answer to Question 1

B
The order should be questioned for dosage reduction. Because of low albumin levels, the amount of free drug floating in the system would be increased.
Giving the drug slowly will not change the amount of free floating drug in the system.
Increasing the dose of a drug that is highly protein bound would cause greater toxicity.
The route is not given in the question, therefore questioning the route is not appropriate for the information given.

Answer to Question 2

C
There is an increased risk of toxicity when topical agents are used in children because of their thin skin.
Topical agents are not contraindicated in the pediatric patient, although they should be adminis-tered with care because of the increased risk for toxicity.
Topical agents are not absorbed slowly and erratically.
There is an increased risk of toxicity when topical agents are used in children, not a decreased risk of toxicity.

[bobypop]

TYSM

[Dnite]

Excellent