The nurse is administering an oral antihistamine at bedtime to a ...

[mynx]

The nurse is administering an oral antihistamine at bedtime to a child with atopic dermatitis (eczema). Which antihistamine should the nurse expect to be prescribed at bedtime?
 
  a. Cetirizine (Zyrtec)
  b. Loratadine (Claritin)
  c. Fexofenadine (Allegra)
  d. Diphenhydramine (Benadryl)

Question 2

The nurse is teaching parents guidelines for feeding their 8-month-old infant with failure to thrive (FTT). Which statement by the parents indicates a need for further teaching?
 
  a. We will continue to use the 24-kcal/oz formula.
  b. We will be sure to follow the formula preparation instructions.
  c. We will be sure to give our infant at least 8 oz of juice every day.
  d. We will be sure to feed our infant according to the written schedule.

[kusterl]

Answer to Question 1

ANS: D
Oral antihistamine drugs such as hydroxyzine or diphenhydramine usually relieve moderate or severe pruritus. Nonsedating antihistamines such as cetirizine (Zyrtec), loratadine (Claritin), or fexofenadine (Allegra) may be preferred for daytime pruritus relief. Because pruritus increases at night, a mildly sedating antihistamine such as Benadryl is prescribed.

Answer to Question 2

ANS: C
Juice intake in infants with FTT should be withheld until adequate weight gain has been achieved with appropriate milk sources; thereafter, no more than 4/oz day of juice should be given. Further teaching is needed if the parents indicate 8 oz of juice is allowed. For infants with FTT, 24-kcal/oz formulas may be provided to increase caloric intake. Because maladaptive feeding practices often contribute to growth failure, parents should follow specific step-by-step directions for formula preparation, as well as a written schedule of feeding times. Statements by the parents indicating they will use a 24-kcal/oz formula, follow directions for formula preparation, and feed their infant on schedule are accurate statements.