What is the best response by the nurse to a parent asking about ...

[jCorn1234]

What is the best response by the nurse to a parent asking about antidiarrheal medication for her 18-month-old child?
 
  a. It is okay to give antidiarrheal medication to a young child as long as you follow
  the directions on the box for correct dosage.
  b. Antidiarrheal medication is not recommended for young children because it
  slows the body's attempt to rid itself of the pathogen.
  c. I'm sure your child won't like the taste, so give extra fluids when you give the
  medication.
  d. Antidiarrheal medication will lessen the frequency of stools, but give your child
  Gatorade to maintain electrolyte balance.

Question 2

During a 14-year-old's physical examination, the nurse identifies that he plays soccer and football and is complaining of knee pain when he rises from a squatting position, and difficulty with weight bearing. The nurse should suspect
 
  a. Legg-Calv-Perthes disease
  b. Osteomyelitis
  c. Duchenne muscular dystrophy
  d. Osgood-Schlatter disease

[heyhey123]

Answer to Question 1

B
Feedback
A Antidiarrheal medications are not recommended for children younger than 2
years old.
B Antidiarrheal medications may actually prolong diarrhea because the body will
retain the organism causing the diarrhea, further increasing fluid and electrolyte
losses. The use of these medications is not recommended for children younger
than 2 years old because of their binding nature and potential for toxicity.
C This action is inappropriate because antidiarrheal medications should not be
given to a child younger than 2 years old.
D It is not appropriate to advise a parent to use antidiarrheal medication for a child
younger than 2 years old. Education about appropriate oral replacement fluids
includes avoidance of sugary drinks, apple juice, sports beverages, and colas.

Answer to Question 2

D
Feedback
A Pain on activity that decreases with rest is indicative of Legg-Calv-Perthes
disease.
B Preexisting pain, favoring the affected limb, erythema, and tenderness are
associated with osteomyelitis.
C Duchenne muscular dystrophy causes progressive generalized weakness and
muscle wasting.
D Knee pain and tenderness aggravated by activity that requires kneeling, running,
climbing stairs, and rising from a squatting position is highly significant for
Osgood-Schlatter disease. The cause is believed to be related to repetitive stress
from sports-related activities combined with overuse of immature muscles and
tendons.