A 7-year-old child is brought to the clinic with what the parent ...

[penguins]

A 7-year-old child is brought to the clinic with what the parent describes as tonsillitis. The child has a moderate fever, foul breath, and dysphagia, and occasionally spits up lumps of foul-smelling material.
 
  Which medication does the nurse prepare to instruct the parents on based on the child's symptoms?
  A.
  Amoxicillin (Amoxil)
  B.
  Clindamycin (Cleocin)
  C.
  Erythromycin (Erythrocin)
  D.
  Tetracycline (Sumycin)

Question 2

An emergency department nurse is supervising a nursing student who is preparing a racemic epinephrine (MicroNefrin) nebulizer treatment for a child with stridor from suspected epiglottitis. The student prepares 0.75 mg in 2 mL of normal saline.
 
  Which action by the registered nurse is most appropriate?
  A.
  Allow the student to administer the nebulizer treatment.
  B.
  Have the student explain the action and side effects of the drug.
  C.
  Remind the student to assess lung sounds after the treatment.
  D.
  Tell the student to look up the drug dosage information again.

[chinwesucks]

Answer to Question 1

ANS: B
For acute tonsillitis, penicillin, amoxicillin, or erythromycin are the most commonly prescribed antibiotics. However, with the history of this child spitting up lumps of foul-smelling material, it is more likely he or she has chronic tonsillitis, which is best treated with cephalosporin or clindamycin.

Answer to Question 2

ANS: D
The correct dose of racemic epinephrine is 0.25-0.5 mg in 3 mL of normal saline. The nurse should have the student look up the dosing information again. The other actions would be appropriate if the student had the correct dose.

[penguins]

Thank you

[chinwesucks]

Happy to help you