The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day. The therapeutic range is 5 to 10 mg/kg/day. What is the nurse's priority?
a. Administer the medication because it is within the therapeutic range.
b. Notify the physician that the prescribed dose is in the toxic range.
c. Notify the physician that the prescribed dose is below the therapeutic range.
d. Change the dose to one that is within range.
C
The dosage range is 200 to 400 mg a day. The prescribed dose is 100 mg/day, which is below therapeutic range. The nurse should notify the physician first and ask for clarification on the order. The dose is not above the therapeutic range and is not at a toxic level. The nurse should never alter an order without the prescriber's approval and consent.
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