The nurse is caring for a 4-month-old child who is on a water soluble medication for seizures. The child's mother voices concern that the dosage seems "too much" for the child's age and would like the dosage verified
What actions will the nurse take? (Select all that apply.)
a. Verify dosage requirements in the Physicians' Desk Reference (PDR) in mg/kg.
b. Compare the water composition requirements of adults and children.
c. Evaluate lean body mass and total fat content in adults and infants.
d. Chart "refused per mother" on the MAR and do not administer.
e. Compare transportation in the circulation of plasma bound proteins between adults and children.
ANS: A, B
The PDR lists the recommended dosages for all age groups. Because dilution may vary among age groups, the water concentration should be verified prior to administration. As we age, lean body mass and total body water decrease while total fat content increases; however, this drug is not fat soluble. The nurse is responsible for administering the medication as ordered after verifying that it is correct; the mother is asking for verification, not refusal of administration. Drugs that are relatively insoluble are transported in the circulation by being bound to plasma proteins; however, this drug is water soluble.
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