solved

M.S. was admitted to the hospital for monitoring after receiving the epinephrine and fluid bolus. Current vital signs include: temperature 39 degrees Celsius, HR 150, RR 26, B/P 94/68, sat 99% on room air
The healthcare provider makes morning rounds and orders the following:
Ceftriaxone 50 mg/kg IV daily.
ibuprofen 20 mg PO q8h PRN for temperature greater than 37.5 (include parameter – degrees Celsius)
acetaminophen 64 mg PO q4h PRN for temperature greater than 37.5.
The safe dose range for ibuprofen is 5-10 mg/kg PO q6-8h PRN.
The safe dose range for acetaminophen is 10-15 mg/kg q4-6h PRN.
Use an “X” (or drag and drop) to indicate which nursing actions listed in the left column would be indicated or contraindicated.
Actions Indicated Contraindicated
Administer Ceftriaxone 300 mg IV
Administer Ceftriaxone 135 mg IV
Calculate the safe dosage range for ibuprofen as 13.5-27 mg per dose. The dose of 20 mg PO Q8h PRN is safe and should be administered.
Calculate the safe dosage range for ibuprofen as 66-132 mg per dose. The dose of 20 mg PO q8H PRN is low and the healthcare provider should be notified.
Calculate the safe dosage range for acetaminophen as 27-40.5 mg per dose. The dosage of 64 mg PO q4h PRN is too high and the healthcare provider should be notified.
Calculate the safe dosage range for acetaminophen as 60-90 mg per dose. The dosage of 64 mg PO q4h PRN is safe and should be administered.

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