A nurse is reviewing the medication administration record for a toddler who weighs 30 kg (66.1 lb). The nurse should identify that which of the following prescriptions requires further clarification?

A. Budesonide 0.25 mg inhalation 2 times daily: This is a standard pediatric dose for children with asthma or reactive airway disease. The dose is appropriate for a toddler and does not require clarification. B. Albuterol 2.5 mg inhalation q8h: Albuterol 2.5 mg every 8 hours is within safe dosing limits for a toddler, particularly for acute bronchospasm. This dose is commonly used in nebulized treatments. C. Amoxicillin 250 mg PO q8h: Standard dosing for amoxicillin in children is typically 20–40 mg/kg/day for mild infections and 80–90 mg/kg/day for severe infections, divided in doses. For a 30 kg child, 250 mg every 8 hours equals 750 mg/day, which is only 25 mg/kg/day low for most indications and possibly subtherapeutic. D. Montelukast 4 mg PO daily: The 4 mg daily dose is the recommended dosage for children aged 2–5 years, making this appropriate for a toddler. No clarification is needed.