This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 42-lb (19-kg) child is admitted for initial management of cardiomyopathy (CMP). The physician ... (Read 31 times)

CORALGRILL2014

  • Hero Member
  • *****
  • Posts: 525
on: Jun 28, 2018
A 42-lb (19-kg) child is admitted for initial management of cardiomyopathy (CMP). The physician leaves orders for carvedilol (Coreg), 15 mg orally twice a day. What action by the nurse is most appropriate?
 
  A.
  Ask the provider to clarify the dose.
  B.
  Consult pharmacy about the drug choice.
  C.
  Give the medication as ordered.
  D.
  Withhold any antacids in this patient.

Question 2

A nurse is assessing a school-age child admitted with new heart murmur, arthritis-type symptoms, erythema marginatum, and fever. When taking the child's history, which question is most likely to provide important information?
 
  A.
  Did your child have any vaccinations recently?
  B.
  Has your child been exposed to contagious illnesses?
  C.
  Has your child had a sore throat in the last 2 to 3 weeks?
  D.
  Is there a family history of autoimmune disorders?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ciecieme

  • Sr. Member
  • ****
  • Posts: 331
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
Coreg is a beta blocker and is used in the treatment of CMP. The safe dose for this drug is 0.07 mg/kg, with a maximal dose of 0.5 mg/kg. The dose of 15 mg is far above the safe dose range. The nurse should consult the provider about the dose. Consulting pharmacy about the appropriateness of this drug is unnecessary. There is no contraindication to antacids.

Answer to Question 2

ANS: C
This child is displaying manifestations of rheumatic fever, which typically arises after an episode of acute pharyngitis. The nurse should ask about recent sore throats. The other questions are not as likely to provide vital information.


CORALGRILL2014

  • Member
  • Posts: 525
Reply 2 on: Jun 28, 2018
:D TYSM

ultraflyy23

  • Member
  • Posts: 312
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

The horizontal fraction bar was introduced by the Arabs.

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

The human body produces and destroys 15 million blood cells every second.

This young child is pulling at the ear and acting fussy, two important signs of otitis media. This young child is pulling at the ear and acting fussy, two important signs of otitis media.
A medical assistant using the proper technique when passing instruments to the physician. A medical assistant using the proper technique when passing instruments to the physician.
Both individuals and organizations do impression management, trying to communicate messages about ... Both individuals and organizations do impression management, trying to communicate messages about ...
Parent restraint of a young child during examination of the ear Parent restraint of a young child during examination of the ear
International Business Management International Business Management
Financial Management 4th Edition (Cengage) Financial Management 4th Edition (Cengage)
Video: Structure of Amino Acid, Peptide Bonds & Polypeptides

For a complete list of videos, visit our video library