Nokea
A child being administered a new medication displays signs of an adverse drug reaction. The nurse would expect treatment of the reaction to include (Select all that apply):
- A. Administering antibiotics
- B. Discontinuing the drug
- C. Administering antihistamines
- D. Administering corticosteroids
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Discontinuing the drug is essential to stop the adverse reaction. Administering antihistamines helps manage symptoms like itching and hives. Corticosteroids can reduce inflammation and allergic responses caused by the reaction. Antibiotics (choice A) are not indicated unless there is a specific infection requiring treatment. No other choices were provided, but it's crucial to focus on stopping the offending drug, managing symptoms, and addressing inflammation in the case of an adverse drug reaction.
You may also like to solve these questions
The emergency room nurse is caring for a patient with severe burns knows that the priority immediate intervention is which of the following?
- A. Cover the burns to prevent infection
- B. Provide anti-inflammatory medication
- C. Stop the burning process
- D. Provide anti-cyanide medication
Correct Answer: C
Rationale: The correct answer is C: Stop the burning process. This is the priority immediate intervention for a patient with severe burns because stopping the burning process helps prevent further tissue damage. It involves removing the patient from the source of the burn, extinguishing any flames, and cooling the burn with water. This action is crucial in minimizing the extent of the injury and improving outcomes.
A: Covering the burns to prevent infection is important but not the immediate priority.
B: Providing anti-inflammatory medication can be considered later but is not the primary immediate intervention.
D: Providing anti-cyanide medication is not relevant for severe burns.
A 4-year-old, 44-pound Autistic patient is admitted to the ED with concerns of dehydration. He has been ordered to receive a 20ml/kg fluid bolus of normal saline over 30 minutes. At what rate would you set the IV pump?
- A. 880 ml/hour
- B. 800 ml/hour
- C. 440 ml/hour
- D. 400 ml/hour
Correct Answer: A
Rationale: The correct answer is A: 880 ml/hour. To calculate the IV pump rate, first, determine the total volume to be infused: 20 ml/kg x 44 lbs = 880 ml. Next, divide the total volume by the total time in hours: 880 ml / 1 hour = 880 ml/hour. This rate ensures the patient receives the prescribed fluid bolus over 30 minutes. Choice B is incorrect as it does not account for the specific weight of the patient. Choices C and D are incorrect as they do not follow the correct calculation based on the patient's weight.
Fentanyl 30mcg IV is ordered. The vial contains 0.05mg/ml. How many ml should the nurse administer?
- A. 0.3 ml
- B. 3 ml
- C. 0.06 ml
- D. 0.6 ml
Correct Answer: D
Rationale: To calculate the amount of Fentanyl to administer, first convert 30mcg to mg by dividing by 1000 (30mcg = 0.03mg). Then, divide the dose by the concentration of the vial (0.03mg ÷ 0.05mg/ml = 0.6ml). The correct answer is D (0.6ml). Choice A (0.3ml) is incorrect because it doesn't account for the correct dosage calculation. Choice B (3ml) is incorrect as it is too high, leading to potential overdose. Choice C (0.06ml) is incorrect as it miscalculates the dosage based on the vial concentration.
To help the adolescent deal with diabetes, the nurse must consider which developmental characteristic of adolescence?
- A. Desire to be unique
- B. Preoccupation with the future
- C. Need to be perfect and similar to peers
- D. Need to make peers aware of the seriousness of hypoglycemic reactions
Correct Answer: C
Rationale: The correct answer is C: Need to be perfect and similar to peers. During adolescence, individuals often have a strong desire to fit in and be accepted by their peers, leading to a need to conform and be similar to their peers. This characteristic is important to consider when helping an adolescent deal with diabetes as it may impact their adherence to treatment and management of their condition. Choices A, B, and D are incorrect because while adolescents may have a desire to be unique or preoccupied with the future, these characteristics are not specifically related to managing diabetes. Additionally, the need to make peers aware of hypoglycemic reactions may not be the most effective or appropriate way to manage the condition.
What is the purpose of pediatric hospice?
- A. Provide pain relief so the child doesn't know they are dying
- B. Extend the dying process so the child and family can say goodbye
- C. Hasten the dying process to stop the suffering
- D. Support the highest quality of life possible for whatever time remains
Correct Answer: D
Rationale: The correct answer is D: Support the highest quality of life possible for whatever time remains. Pediatric hospice aims to provide comprehensive care to children with life-limiting illnesses, focusing on enhancing their quality of life through physical, emotional, and spiritual support. This approach prioritizes symptom management, comfort, and dignity for the child, ensuring they live as fully as possible until the end. Other choices are incorrect because A does not acknowledge the child's awareness, B may not align with the child's wishes, and C goes against the ethical principles of hospice care.