Author Question: A family is preparing for travel and the parents report that their 5-year-old child has frequent ... (Read 68 times)

james0929 · **on:** Jul 23, 2018

A family is preparing for travel and the parents report that their 5-year-old child has frequent motion sickness. The nurse will tell the parents to ask the provider about which antihistamine to help prevent symptoms?

a. Desloratadine Clarinex
b. Dimenhydrinate Dramamine
c. Hydroxyzine Vistaril
d. Promethazine Phenergan

Question 2

A nurse is reviewing the culture results of a patient receiving an aminoglycoside. The report reveals an anaerobic organism as the cause of infection. What will the nurse do?

a. Contact the provider to discuss an in-creased risk of aminoglycoside toxicity.
b. Continue giving the aminoglycoside as ordered.
c. Request an order for a different class of antibiotic.
d. Suggest adding a penicillin to the patient's drug regimen.

lou · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Some antihistamines, including dimenhydrinate and promethazine, are labeled for use in motion sickness. Promethazine, however, is contraindicated in children under age 2 years and should be used with caution in children older than 2 years because of the risks for severe respiratory de-pression. Desloratadine and hydroxyzine are not used for motion sickness.

Answer to Question 2

C
Aminoglycosides are not effective against anaerobic microbes, so another class of antibiotics is indicated. There is no associated increase in aminoglycoside toxicity with anaerobic infection. The aminoglycoside will not be effective, so continuing to administer this drug is not indicated. Adding another antibiotic is not useful, because the aminoglycoside is not necessary.