An unconscious child is brought to the emergency room due to Tylenol poisoning. Which of the following is the most appropriate nursing action?
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Solution
Gastric lavage with activated charcoal.
In an unconscious child with Tylenol poisoning, the priority intervention is to administer gastric lavage with activated charcoal to decrease the absorption of Tylenol.
Option A is not correct due to the risk of aspiration.
Option C: Activated charcoal inactivates mucomyst.
Option D is the drug of choice for lead poisoning.
A nurse is handling a child who is on a Furosemide (Lasix) IV infusion. The nurse instruct the mother to encourage the child to eat which of the following?
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Solution
Apricot and baked potato skin.
One of the side effects of taking furosemide is hypokalemia, so a supplemental food rich in potassium is encouraged.
Options B, C, and D are low in potassium.
Which of the following is not true regarding varicella vaccine?
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Solution
Give aspirin for any injection-related pain.
Children receiving varicella vaccine should avoid aspirin or aspirin containing products because of the risk of Reye’s syndrome.
A 6-year-old child is scheduled to have measles, mumps, and rubella (MMR) vaccine. Which of the following route will you expect the nurse to administer the vaccine?
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Solution
Increase fluid intake to 2-3 liters per day.
Cyclophosphamide can cause hemorrhagic cystitis. Encourage the client to increase their fluid intake to 2- 3 liters per day, unless contraindicated.
Option A: This medication can cause hyperkalemia.
Option C: The medication is taken without food.
Option D: Client must follow a low purine diet to alkalinize the urine and lowers the uric acid level.
A 4 month-year-old infant has just received diphtheria, tetanus, and acellular pertussis (DtaP). Hours later, the mother report to the clinic because her child develops redness and swelling at the injection site. The nurse instruct the mother to do which of the following?
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Solution
Application of cold compress.
Redness, tenderness or swelling may happen at the site of injection. This will be relieved through cool application for the first 24 hours, followed by warm compress if inflammation persists.
Options B, C, and D are inappropriate intervention.
The nurse is reviewing the child’s record who is scheduled to receive inactivated polio vaccine (IPV). Which of the following would prompt the nurse to withhold the administration?
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Solution
History of an anaphylactic reaction to streptomycin.
Inactivated polio vaccine (IPV) contains a trace amount of streptomycin, neomycin, and polymyxin.
Options A, C, and D are not contraindicated with this vaccine.
A child with known hemophilia A was brought to the emergency room with complaints of nose bleeding and some bruises in the joints. Which of the following should the nurse anticipate to be given to the child?
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Solution
Factor VIII
Hemophilia A, also called factor VIII (FVIII) deficiency or classic hemophilia, is a genetic disorder caused by missing or defective factor VIII, a clotting protein. The initial treatment is the administration of factor VIII to replace the missing factor and decreases the bleeding episode.
Options A, B, and C are not used in this case.
Options B and D are side effects not related to this medication.
A child with Kawasaki disease is admitted to the pediatric ward. Which of the following medications will you expect to be a part of the treatment? Select all that apply:
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Solution
Gamma Globulin, B. Warfarin.,D. Aspirin.
The principal goal of treatment for Kawasaki disease is to prevent coronary artery disease and to relieve symptoms such as fever and joint pain so an antipyretic, antiplatelet, and gamma globulin is used.
Option C is antipyretic but is not responsive to this disease.
Option D is a beta blocker.
A child with β-thalassemia is undergoing a blood transfusion. To prevent organ damage from the excessive amount of iron, chelation therapy is prescribed. Which of the following medications will be added to this therapy?
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Solution
Deferasirox.
Chelation therapy with deferasirox (Exjade) or deferoxamine (Desferal) is prescribed to prevent organ damage from the presence of too much iron in the body as a result of the transfusion.
Option A is a cough suppressant.
Option B is a thrombin inhibitor.
Option D is an antidepressant.
The nurse is giving instructions to a mother with a child receiving a liquid oral iron supplement. The nurse tells the mother to:
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Solution
Administer it using a straw.
An oral liquid iron supplement should be given with a straw because the medicine will stain the teeth.
Option A: Taking it with meals will decrease the absorption.
Options B and C: Iron is not mixed with any food/drink.