Nokea
The nurse would expect to withhold penicillin V (Pen-Vee-K) and notify the physician if the child had a previous allergic reaction to a medication from which drug group?
- A. Aminoglycosides
- B. Cephalosporins
- C. Macrolides
- D. Sulfonamides
Correct Answer: B
Rationale: Penicillin V is a penicillin antibiotic, and cephalosporins have a similar beta-lactam structure, which can lead to cross-reactivity in patients with penicillin allergies. Withholding penicillin and notifying the physician is necessary if the child has a cephalosporin allergy.
You may also like to solve these questions
Which nursing action would best promote the adolescent's compliance with wearing the brace?
- A. Advising the parents to keep a constant watch on their daughter to make sure she wears her brace
- B. Suggesting that the parents help their daughter find stylish clothing that will hide the brace
- C. Telling the parents that it might be best to arrange for a homebound teacher
- D. Advising the parents to limit their daughter's participation in school activities
Correct Answer: B
Rationale: Helping the adolescent find stylish clothing to conceal the brace addresses body image concerns, promoting compliance by making the brace less noticeable.
Perinatal mortality rate is defined as:
- A. Number of perinatal deaths per thousand live births and still births.
- B. Deaths in the first week after birth.
- C. All still births plus deaths in the first week after birth.
- D. Deaths from age 7 days the 27 completed days of life.
- E. Deaths in first week after birth.
Correct Answer: A
Rationale: Perinatal mortality rate is defined as the number of stillbirths and deaths in the first week of life per 1000 live births and stillbirths capturing early neonatal and late fetal losses.
The full-term newborn is placed under phototherapy lights to treat hyperbilirubinemia. The nurse should assess the newborn for dehydration due to which effect of phototherapy?
- A. Decreases sodium absorption
- B. Increases absorption of bilirubin
- C. Decreases urinary output
- D. Increases insensible water loss
Correct Answer: D
Rationale: Phototherapy increases insensible water loss risking dehydration. It breaks down bilirubin for excretion not absorption and doesn’t directly affect sodium or urinary output.
The nurse is reviewing the following labor history of a postpartum mother: “Mother positive for group B streptococcal (GBS) infection at 37 weeks’ gestation. Membranes ruptured at home 14 hours before presentation to the hospital at 40 weeks’ gestation. Precipitous labor,no antibiotic given.” Considering this information the nurse should observe her 15-hour-old newborn closely for which finding?
- A. Temperature instability
- B. Pink stains in the diaper
- C. Meconium stools
- D. Presence of erythema toxicum
Correct Answer: A
Rationale: GBS infection risk increases with prolonged membrane rupture and no antibiotics with temperature instability as an early symptom. Pink stains meconium and erythema toxicum are normal.
The nurse is discharging the 3-day-old term newborn with a right-sided cephalohematoma. The nurse should instruct the parents to observe their infant closely over the next week for the development of which problem associated with the cephalohematoma?
- A. Jaundice
- B. Difficulty feeding
- C. Pale extremities
- D. Bulging on the right side of the head with crying
Correct Answer: A
Rationale: Cephalohematoma resolution causes RBC hemolysis leading to jaundice. It doesn’t affect feeding cause paleness or bulge with crying.