Nokea
An adolescent was recently diagnosed with acne vulgaris and was prescribed tetracycline. Which of the following statements indicates that the client requires further education?
- A. I'll take this medication at least an hour before I eat a meal
- B. I'll take this medication with a full glass of milk
- C. I'll take this medication with a full glass of water on an empty stomach
- D. I'll stay out of direct sunlight while taking this medication
Correct Answer: B
Rationale: Tetracycline should not be taken with dairy products including milk because calcium in dairy can bind to the antibiotic and significantly reduce its absorption.
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A nurse is preparing a 4-year-old child for discharge following a bilateral myringotomy with tympanostomy tube placement. The mother asks what to do if the tubes fall out. The nurse should give the parent which of the following instructions?
- A. Gently reinsert the tubes.
- B. Call the health care clinic to report that the tubes have fallen out.
- C. Reassure the mother that the tubes will not fall out.
- D. Take the child to an emergency department.
Correct Answer: B
Rationale: The healthcare provider needs to be informed to assess if new tubes are necessary.
A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?
- A. Place a warm
- B. moist heat pack on the cast.
- C. Position the casted arm in a dependent position.
- D. Move the casted arm with a firm grasp.
- E. Administer diphenhydramine to relieve itching.
Correct Answer: D
Rationale: Itching is common under a new cast and diphenhydramine can help manage this symptom without risking damage to the cast
A nurse is reinforcing teaching with the parents of a preschooler who has atopic dermatitis. Which of the following information should the nurse include?
- A. You will need to take the entire prescription of antibiotics even if your symptoms improve.
- B. The doctor will remove the lesions with liquid nitrogen.
- C. The doctor might recommend an antihistamine to help control your symptoms.
- D. You can relieve your child's discomfort by applying warm compresses to the lesions.
Correct Answer: C
Rationale: Antihistamines can help reduce itching and provide relief which is a common symptom of atopic dermatitis.
A nurse is preparing to administer acetaminophen 15 mg/kg PO to a preschool child for fever. The child weighs 30 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A. 6.4 mL
- B. 5.4 mL
- C. 7.4 mL
- D. 4.4 mL
Correct Answer: 6.4
Rationale: Calculation: 30 lb × 0.454 kg/lb = 13.62 kg; 15 mg/kg × 13.62 kg = 204.3 mg; 204.3 mg ÷ 160 mg/5 mL = 6.4 mL.
A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?
- A. Pain
- B. Vomiting
- C. Constipation
- D. Bradycardia
Correct Answer: A
Rationale: Pain is the most common and significant symptom of a vaso-occlusive crisis in sickle cell disease.