This topic contains a solution. Click here to go to the answer

Author Question: A nurse practitioner (NP) is preparing to prescribe a medication for a 5-year-old child. To ... (Read 42 times)

jCorn1234

  • Hero Member
  • *****
  • Posts: 545
A nurse practitioner (NP) is preparing to prescribe a medication for a 5-year-old child. To determine the correct dose for this child, the NP should:
 
  a. calculate the dose at one third of the recommended adult dose.
  b. estimate the child's body surface area (BSA) to calculate the medication dose.
  c. divide the recommended adult dose by the child's weight in kilograms (kg).
  d. follow the drug manufacturer's recommendations for medication dosing.

Question 2

An NP orders an inhaled corticosteroid 2 puffs twice daily and an albuterol metered-dose inhaler 2 puffs every 4 hours as needed for cough or wheezing for a 65-year-old patient with recent onset of reactive airways disease who reports symptoms
 
  occurring every 1 or 2 weeks. At a follow-up appointment several months later, the patient reports no change in frequency of symptoms. The NP's initial action should be to: a. order spirometry to evaluate pulmonary function.
  b. prescribe a systemic corticosteroid to help with symptoms.
  c. ask the patient to describe how the medications are taken each day.
  d. give the patient detailed information about the use of metered-dose inhalers.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

gabrielle_lawrence

  • Sr. Member
  • ****
  • Posts: 353
Answer to Question 1

D
The package insert provided by the manufacturer is the best source for pediatric dose recommendations. Approximated reduction in the adult dose is not a safe or effective way of calculating pediatric doses of medications, so using a third of the adult dose may not be safe. Errors inherent in determining BSA make this method less reliable than dose based on accurate weights. Dividing the adult dose by the child's weight is incorrect.

Answer to Question 2

C
It is essential to explore with the older patient what he or she is actually doing with regard to daily medication use and compare this against the prescribed medication regimen before ordering further tests, prescribing any increase in medications, or providing further education.




jCorn1234

  • Member
  • Posts: 545
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)


ryhom

  • Member
  • Posts: 366
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

For a complete list of videos, visit our video library