A child was seen in the health care clinic and received an ...

[neverstopbelieb]

A child was seen in the health care clinic and received an immunization of DPT (diphtheria, pertussis, tetanus) vaccine. One hour later, the mother calls the clinic and tells the nurse that the injection site is painful and red.
 
  Which of the following instructions would the nurse provide to the mother? 1. Call the physician.
  2. Apply warm compresses on the site.
  3. Return to the health care clinic immediately.
  4. Apply cold compresses for 24 hours following the injection.

Question 2

The client with cancer is about to be started on mitomycin (Mutamycin). The nurse should suggest contacting the physician after noting that the client is also taking which of the following medications?
 
  1. Furosemide (Lasix)
  2. Ondansetron (Zofran)
  3. Warfarin (Coumadin)
  4. Allopurinol (Zyloprim)

[wuly]

Answer to Question 1

4

Rationale: For painful or red injection sites, the nurse should instruct the mother to apply cold compresses for the first 24 hours and then to use warm or cold compresses as long as needed. Call the physician, apply warm compresses on the site, and return to the health care clinic immediately are incorrect. It is not necessary for the mother to bring the child to the clinic im-mediately, and it is not necessary for the mother to contact the physician.

Answer to Question 2

3

Rationale: Mitomycin is an antitumor antibiotic. The use of aspirin, anticoagulants, and thrombolytic agents should be avoided concurrent with this medication, because mitomycin causes thrombocytopenia. Warfarin (Coumadin) is an anticoagulant, and the risk of bleeding is increased if administered during mitomycin therapy. Furosemide is a diuretic and is not related to the question. Ondansetron (Zofran) is an antiemetic used to prevent or treat nausea and vomiting during chemotherapy. Allopurinol is an antigout medication, which prevents or treats hyperuricemia resulting from blood dyscrasias caused by cancer chemotherapy.

[neverstopbelieb]

TY

[wuly]

You're welcome