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,A nurse is caring for an infant after a surgical procedure. After
ensuring that the ordered dose is appropriate for the infant's
age and weight, the nurse administers a narcotic analgesic
intravenously. When assessing the infant 15 minutes later, the
nurse notes respirations of 22 breaths/minute and a heart rate
of 110 beats/minute. The infant is asleep in the parent's arms
and does not awaken when vital signs are assessed. The nurse
understands that these findings are the result of: - Answer:
immaturity of the blood-brain barrier in the infant.
A child will receive 750 mg of an antibiotic for 10 days. The child
attends day care. The drug may be dosed in several ways and is
available in two concentrations. Which dosing regimen will the
nurse discuss with the child's provider? - Answer: 500 mg/5 mL
to 375 mg PO twice daily
Parents ask the nurse why an over-the-counter cough
suppressant with sedative side effects is not recommended for
infants. Which response by the nurse is correct? - Answer:
"Infants are more susceptible to central nervous system effects
than are adults."
A nurse caring for a 5-year-old child notes that the child has
discoloration of several teeth. When taking a medication
,history, the nurse will ask about which group of medications? -
Answer: Tetracyclines
An infant has allergies and often develops a pruritic rash when
exposed to allergens. The infant's parents ask the nurse about
using a topical antihistamine. What should the nurse tell them?
- Answer: Applying an antihistamine to the skin can cause
toxicity in this age group.
An infant is receiving a medication that has a narrow
therapeutic range. The nurse reviews the medication
information and learns that the drug is excreted by the kidneys.
When giving the medication, the nurse will assess the infant
for: - Answer: signs of drug toxicity.
A pediatric nurse is teaching nursing students to calculate
medication doses for children using a formula based on body
surface area. Which statement by a nursing student indicates
understanding of the teaching? - Answer: "This formula helps
approximate the first dose; other doses should be based on
clinical observations."
A pediatric nurse is teaching nursing students about medication
administration in children. Which statement by a student
, indicates an understanding of the teaching? - Answer: "Drugs
effective in adults may not work in children, even if the dose is
proportional for weight and size."
A nurse is teaching nursing students about pediatric medication
administration. What will the nurse include when discussing
pediatric drug research? - Answer: Studies showed a significant
percentage of unanticipated and potentially lethal side effects
in children.
A prescriber has ordered medication for a newborn. The
medication is eliminated primarily by hepatic metabolism. The
nurse expects the prescriber to: - Answer: order a dose that is
lower than an adult dose.
The parents of a child with asthma ask the nurse why their child
can not use oral corticosteroids more often, because they are
so effective. The nurse will offer which information that is true
for children? - Answer: Chronic steroid use can inhibit growth.
A patient with schizophrenia receives a dose of risperidone
[Risperdal Consta] IM. The nurse teaching this patient about
this medication will make which statement? - Answer: "You will
need to take an oral antipsychotic drug for 3 weeks."