The medication nurse notices that a 12-year-old overweight boy with considerable adiposity is receiving a larger dose of a lipid-soluble medication than a 10-year-old, average-weight female peer

Question

The nurse realizes that the major reason for this is that: a. females require less medication than males
b. older children require more medication than younger peers
c. lipid-soluble medications have an affinity for fat and can be stored in body fat
d. boys have more muscle, which uses more lipid-soluble drug faster

Answer 1

C

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A Incorrect. The nurse realizes that an order for a larger dose of a lipid-soluble medication is indicated because the 12-year-old male is overweight, not because females require less medication than males.
B Incorrect. The nurse realizes that an order for a larger dose of a lipid-soluble medication is indicated because the 12-year-old male is overweight, not because older children require more medication than younger peers.
C Correct. An individual with a higher percentage of body fat requires a higher mg/kg dose of a lipid-soluble medication than an individual with lower percentage of body fat. Lipid-soluble medications have a high affinity for adipose tissue and can be stored in body fat
D Incorrect. The nurse realizes that an order for a larger dose of a lipid-soluble medication is indicated because the 12-year-old male is overweight, not because boys have more muscle, which uses more lipid-soluble drug faster.