1. A 15-year-old patient who weighs 110

1. A 15-year-old patient who weighs 110 lb comes to the clinic and is diagnosed with oropharyngeal candidiasis. The physician orders fluconazole 250 mg PO today only, followed by fluconazole 200 mg PO daily for 2 weeks. Which of the following statement is true about the ordered doses for this patient? Image transcription text … Show more The ordered doses are less than the weight-based recommended doses for this patient. The nurse can administer fluconazole 250 mg PO and teach the patient about the drug to be taken for the next two weeks. The dose ordered for today is less than the weight-based recommended dose for this patient. The nurse should consult with the physician before administering this dose. The daily dose ordered for the next two weeks is more than the weight-based recommended dose for this patient. The nurse should consult with the physician about this dose. The doses ordered are more than the weight-based recommended doses for this patient. The nurse should not administer the dose today and should consult with the physician. 2. The nurse is caring for a 3-year-old child who is an asymptomatic carrier of meningococcus. The child weighs 32 lb. The physician orders rifampin 150 mg PO q.12h for 2 days. The drug reference has the following information: Route/Dosage Asymptomatic Carriers of Meningococcus PO, IV (Adults): 600 mg q 12 hr for 2 days. PO, IV (Children ≥ 1 mo): 10 mg/kg q 12 hr for 2 days (max: 600 mg/dose). PO (Infants < 1 mo): 5 mg/kg q 12 hr for 2 days. What is the recommended dose for the patient? Round doses to the nearest hundredth. Is the ordered dose safe? The recommended dose for this child is 14.55 mg every 12 hours for 2 days. The ordered dose is not safe. The recommended safe dose for this child is 14.55 mg every 12 hours for 2 days. The ordered dose is safe. The recommended safe dose for this child is 145.45 mg every 12 hours for 2 days. The ordered dose is not safe. The recommended safe dose for this child is 145.45 mg every 12 hours for 2 days. The ordered dose is safe. 3. The nurse needs to validate the BSA written on the patient's EMR using the BSA formula. The patient is 56 years old, weighs 210 lb, and is 5'11" tall. Because the patient's height and weight are in household measurements, the nurse uses the following formula: What is the body surface area (BSA) for this patient? Image transcription text wt (lb) X ht (in) BSA (m2) 3131 BSA = 1.49 m2 BSA = 2.18 m2 BSA = 3.13 m2 BSA = 4.76 m2 4. The nurse validates the BSA written on the patient's EMR using the West Nomogram. The patient is a 16-year-old who weighs 67 kg and is 172 cm tall. What is the patient's estimated body surface area (BSA)? Image transcription text HEIGHT SA WEIGHT cm ... Show more BSA = 1.7 m2 BSA = 1.75 m2 BSA = 1.78 m2 BSA = 1.8 m2 5. The nurse is caring for a patient who is 18 years old with a diagnosis of acute lymphoblastic leukemia. The patient's BSA is 1.45 m2. The oncologist writes orders Oncaspar 3,000 units IV q.14 days. The drug reference has the following information: Route/Dosage IM, IV (Adults up to 21 yr, and Children with Body Surface Area 0.6 m2): 2,500 units/m2 q.14 days (usually in combination with other agents). What is the recommended dose of Oncaspar for this patient? Is the ordered dose safe? The recommended dose for this patient is 2,500 units. The ordered dose is safe. The recommended dose for this patient is 2,500 units. The ordered dose is not safe. The recommended dose for this patient is 3,625 units. The ordered dose is safe. The recommended dose for this patient is 3,625 units. The ordered dose is not safe. 6. The order is to start DAUNOrubicin hydrochloride 80 mg IV daily for 3 days. The patient is 37 years old with leukemia. The patient's BSA is 1.76 m2. What is the recommended dose of DAUNOrubicin for this patient? Enter the numeral only (not the unit) in your answer. Image transcription text HIGH ALERT ... Show more Enter your answer. mg 8. A 76-year-old patient is admitted with ovarian carcinoma and chronic renal disease. The patient's BSA is 1.54 m2. Admission lab reports include a creatinine clearance (CCr) level of 49 mL/min. The physician orders carboplatin 325 mg IV single doses today. The drug reference for carboplatin states: Route/Dosage IV (Adults): Initial treatment 300 mg/m2 with cyclophosphamide at 4-wk intervals. Treatment of refractory tumors—360 mg/m2 as a single dose; may be repeated at 4-wk intervals, depending on response. Renal Impairment IV (Adults): CCR 41-59 mL/min—initial dose 250 mg/m2; CCr 16-40 mL/min—initial dose 200 mg/m2. What is the recommended initial dose of carboplatin for this patient? Is the ordered dose safe? The recommended initial dose for this patient is 308 mg. The ordered dose is not safe. The recommended initial dose for this patient is 385 mg. The ordered dose is safe. The recommended initial dose for this patient is 462 mg. The ordered dose is safe. The recommended initial dose for this patient is 554.4 mg. The ordered dose is safe.

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