A prescriber has ordered a child's dose of medication for a newborn. The medication is eliminated primarily by hepatic metabolism. The nurse should clarify the order with the prescriber to ensure that she _____ the medication
a. orders a lower dose of
b. orders a higher dose of
c. discontinues
d. changes the route of
ANS: A
The drug-metabolizing capacity of newborns is low. As a result, neonates are especially sensitive to drugs that are eliminated primarily by hepatic metabolism. When these drugs are used, dosages must be reduced.
Because of the decreased ability of hepatic metabolism in the newborn, a lower dose is required, not a higher dose.
The medication dosage should be adjusted, not discontinued, for the newborn.
No indication of route was given in the question; not enough information is provided to choose this option.
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