A nurse is teaching a class on drugs that affect pediatric ...

[Caiter2013]

A nurse is teaching a class on drugs that affect pediatric patients. When discussing age-related effects of medications in children, which statement made by a member of the class demonstrates a need for further teaching?
 
  a. Glucocorticoids augment growth.
  b. Tetracyclines discolor the teeth.
  c. Sulfonamides cause kernicterus.
  d. Aspirin may cause Reye's syndrome.

Question 2

A nurse is reviewing medications prior to administration to infant patients. An infant has been receiving a drug for 8 days that undergoes significant renal excretion. For what should the nurse monitor the infant?
 
  a. Allergy to the medication
  b. Signs and symptoms of toxicity specific to the medication
  c. Vomiting, diarrhea, and gastrointestinal upset
  d. Shrill cry and irritable behavior

[heyhey123]

Answer to Question 1

ANS: A
Glucocorticoids do not augment growth in growing children. Rather, they suppress growth, particularly if taken long term; this statement indicates that further teaching is required.
Tetracyclines can discolor the teeth in children ages 4 months to 8 years; no further education is required.
Sulfonamides may cause kernicterus; no further education is required.
When administered to a child with a viral disorder, such as chickenpox, aspirin may cause Reye's syndrome; no further education is required.

Answer to Question 2

ANS: B
Renal drug excretion is significantly reduced at birth, therefore the infant's ability to eliminate the medication is diminished. This allows the drug to stay in the system longer, increasing the risk of toxicity.
There is no indication that the patient is allergic to the medication if the infant has been taking it for 8 days already.
There is no indication that the patient should experience vomiting, diarrhea, or gastrointestinal upset because of significant renal excretion of a medication.
There is no indication that the patient should experience a shrill cry and irritable behavior because of significant renal excretion of a medication.

[Caiter2013]

TYSM

[Alyson.hiatt@yahoo.com]

Gracias!