Nokea
A male adolescent who is newly diagnosed with a seizure disorder receives a prescription for an anticonvulsant. Which statement indicates the client is at risk for non-compliance with life-long medication management?
- A. I hope I will be able to drive while taking these pills.
- B. My friends will think I am a freak if I take these pills.
- C. I don't want my parents monitoring my medications.
- D. I will take the pills at home so others will not see me.
Correct Answer: B
Rationale: The statement 'My friends will think I am a freak if I take these pills' indicates concerns about peer perception, which can lead to non-compliance in adolescents. Peer pressure and fear of social stigma can significantly impact medication adherence in this age group, making option B the most concerning response regarding the client's compliance with life-long medication management.
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A male toddler is brought to the emergency center approximately three hours after swallowing tablets from his grandmother's bottle of digoxin (Lanoxin). What intervention should the nurse implement first?
- A. Administer activated charcoal
- B. Prepare gastric lavage
- C. Obtain a 12-lead electrocardiogram
- D. Give IV digoxin immune fab (Digibind)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A child who weighs 25 kg is receiving IV ampicillin 300 mg/kg/24 hours in equally divided doses every 4 hours. How many milligrams should the nurse administer to the child for each dose?
- A. 1875 mg
- B. 625 mg
- C. 2000 mg
- D. 1500 mg
Correct Answer: A
Rationale: To calculate the dose for each administration, multiply the child's weight (25 kg) by the dose (300 mg/kg/24 hours) and divide by the number of doses per day (6, as doses are every 4 hours). This gives us (25 kg * 300 mg/kg / 24 hours) / 6 doses = 1875 mg. Therefore, the nurse should administer 1875 mg for each dose.
When assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most important for the nurse to obtain?
- A. Recent history of infection recurrences.
- B. Cultural heritage and beliefs.
- C. Family history of bone disorders.
- D. Increased fluid intake occurrences.
Correct Answer: A
Rationale: In a 10-year-old with newly diagnosed osteomyelitis, the most important information for the nurse to obtain is the recent history of infection recurrences. This is crucial because osteomyelitis is an infection of the bone, and assessing for any recent recurrence of infections can help in determining the possible source of the osteomyelitis and guide the treatment plan accordingly.
When should the surgical correction of hypospadias in a newborn infant typically be done?
- A. Repair should be done by one month to prevent bladder infection.
- B. To form a proper urethra repair, it should be done after sexual maturity.
- C. Repairs typically should be done before the child is potty trained.
- D. Delaying the repair until school age reduces castration fears.
Correct Answer: C
Rationale: Surgical repairs for hypospadias are typically recommended to be performed before the child is potty trained. This timing helps in avoiding complications, ensures better outcomes, and makes the surgical process smoother. Early correction also minimizes the psychological impact on the child regarding genital differences and can improve long-term psychological well-being.
What action should the nurse implement when the infusion of chemotherapy via an implanted medication port is complete for a 16-year-old with acute myelocytic leukemia at the outpatient oncology clinic?
- A. Administer Zofran
- B. Obtain blood samples for RBCs, WBCs, and platelets
- C. Flush mediport with saline and heparin solution
- D. Initiate an infusion of normal saline
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.