A child is brought to the pediatric clinic by her mother, who ...

[chandani]

A child is brought to the pediatric clinic by her mother, who reports redness, swelling, and pain around the child's right eye. Which information does the nurse give the mother?
 
  A.
  A steroid injection may be needed to reduce swelling.
  B.
  Intravenous antibiotic treatment for 7 days is usually curative.
  C.
  See an ophthalmologist to assess for any corneal damage.
  D.
  Use warm wet compresses to remove any crusting.

Question 2

A nurse is working with a teen who has epilepsy treated with carbamazepine (Tegretol). Laboratory results indicate a serum drug level of 2 g/mL. Which action by the nurse is the most appropriate?
 
  A.
  Assess the teen for noncompliance.
  B.
  Document the results in the chart.
  C.
  Have the teen continue the regimen.
  D.
  Tell the teen to cut the dose in half.

[Athena23]

Answer to Question 1

ANS: B
This child has the manifestations of periorbital cellulitis, which is treated with a week of IV antibiotics. Steroid injections may be used for a chalazion. An ophthalmologist needs to assess the child with keratitis to assess for corneal damage. Warm moist soaks are used in conjunctivitis.

Answer to Question 2

ANS: A
The therapeutic level of carbamazepine is 5-12 g/mL. The nurse should assess the teen for noncompliance because this level is too low. It is also possible that the teen has grown since the last drug level was obtained and that he or she simply now needs a higher dose. The results should be documented, but the nurse should take other action. Because the level was too low, it is not appropriate to continue the drug regimen or to cut the dose in half.