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    Vati PN Comprehensive Predictor Proctored Exam

    A nurse is reviewing the medication record of an infant. The nurse notes a new prescription for acetaminophen 80 mg PO for a temperature above 38.5° C (101.3° F). Which of the following should the nurse clarify with the provider before administering the medication?

    Explanation & Rationale

    A. Indication: The prescription clearly states that acetaminophen is to be administered for a temperature above 38.5°C (101.3°F), which provides an appropriate therapeutic indication. Fever reduction is a standard and evidence-based use of acetaminophen in infants. The indication is specific and does not require clarification. B. Frequency: The order includes the medication name, dose, route, and indication but does not specify how often the medication can be administered. Acetaminophen requires clear dosing intervals, typically every 4 to 6 hours, with a maximum daily dose to prevent hepatotoxicity. Without a defined frequency, there is a risk of overdose or inappropriate administration timing. C. Route: The prescription specifies oral administration (PO), which is an appropriate and commonly used route for acetaminophen in infants who can tolerate oral intake. There is no ambiguity regarding how the medication should be delivered. D. Dose: An 80 mg dose may be appropriate depending on the infant’s weight, as pediatric acetaminophen dosing is calculated at 10–15 mg/kg per dose. Although weight-based dosing should always be verified, the presence of a specific dose does not automatically require clarification unless it falls outside the safe range.

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