A pediatric client with a history of anaphylactic ...

[SAVANNAHHOOPER23]

A pediatric client with a history of anaphylactic hypersensitivity reactions will be discharged with a prescription for an EpiPen. Which statements are appropriate for the nurse to include in the discharge instructions for this client and family?
 
  Select all that apply.
  A) It is recommended that the child wear a medical alert bracelet.
  B) This medication does not come pre-filled and must be measured.
  C) Keep the medication in the car at all times.
  D) Frequently check the expiration date of the medication.
  E) Keep the medication in one location that is easy to remember.

Question 2

A nurse is caring for a pediatric client with acute conjunctivitis. (See image.) The client presents with purulent discharge and crusting of the eye. Based on this data, which type of conjunctivitis does the nurse suspect?
 
  A) Viral
  B) Allergic
  C) Bacterial
  D) Fungal

[Joy Chen]

Answer to Question 1

Answer: A, D

An EpiPen is a syringe-and-needle medication system used to treat an anaphylactic reaction. Because an anaphylactic reaction is a medical emergency, it is essential that the nurse provides thorough teaching regarding the use of the EpiPen. The nurse should recommend the client wear a medical alert bracelet. The EpiPen comes pre-filled to ensure a quick delivery when necessary. The medication should not be kept in the car at all times, as the EpiPen needs to be stored away from high heat and direct sunlight. The client should have multiple EpiPens and they should be kept in multiple areas, not one location. The expiration date should be checked frequently to ensure accurate strength.

Answer to Question 2

Answer: C

The major difference between bacterial and viral conjunctivitis is that bacterial conjunctivitis has a purulent discharge that may result in crusting, whereas the discharge from viral conjunctivitis is serous (watery). Allergic conjunctivitis produces watery to thick drainage and is characterized by itching. Fungal is incorrect.