Author Question: The nurse would determine that which pediatric client is experiencing an adverse effect from a ... (Read 52 times)

charchew · **on:** Jul 23, 2018

The nurse would determine that which pediatric client is experiencing an adverse effect from a medication?

1. A child taking ibuprofen (Advil) for a sports injury who has frequent upset stomach
2. A child taking an ototoxic antibiotic who does not respond when spoken to
3. A child taking amoxicillin for an ear infection who has diarrhea
4. A pregnant teen taking ferrous sulfate (Feosol) who experiences headaches
5. A teenager taking minocycline (Minocin) for acne who has a rash

Question 2

The nurse is teaching a toddler's mother strategies for administering prescribed oral antibiotics. Which strategies will be discussed?

1. Mix unpleasant-tasting medications in appetizing food such as jam or syrup.
2. Ask the pharmacist to put the medication into sweet syrup, if possible.
3. Physically comfort or praise the toddler following medication administration.
4. Put any liquid medication into the toddler's milk bottle to ensure it will be completely consumed.
5. Give the child a detailed explanation regarding the need for the medication.

asdfasdf · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Ibuprofen can cause upset stomach if taken on an empty stomach.
Rationale 2: Several antibiotics can be toxic to the organs responsible for hearing, which may result in hearing loss.
Rationale 3: Amoxicillin can cause diarrhea.
Rationale 4: Ferrous sulfate commonly causes black stools, not headaches.
Rationale 5: Minocycline often causes nausea, not a rash.
Global Rationale: Ibuprofen can cause upset stomach if taken on an empty stomach. Several antibiotics can be toxic to the organs responsible for hearing, which may result in hearing loss. Amoxicillin can cause diarrhea. Ferrous sulfate commonly causes black stools, not headaches. Minocycline often causes nausea, not a rash.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Mixing unpleasant-tasting medications in appetizing foods may disguise the taste.
Rationale 2: Many pediatric medications are formulated for sweet syrups.
Rationale 3: Physical comfort and praise is important when administering medications to this age group.
Rationale 4: It is recommended to avoid placing medication in healthy foods such as milk, orange juice, or cereal because children may associate these healthy foods with an unpleasant taste in the future.
Rationale 5: Giving long, detailed explanations will prolong the procedure and add to the child's anxiety.
Global Rationale: Mixing unpleasant-tasting medications in appetizing foods may disguise the taste. Many pediatric medications are formulated for sweet syrups. Physical comfort and praise is important when administering medications to this age group. It is recommended to avoid placing medication in healthy foods such as milk, orange juice, or cereal because children may associate these healthy foods with an unpleasant taste in the future. Giving long, detailed explanations will prolong the procedure and add to the child's anxiety.