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.
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.
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