A nurse is preparing to administer a prn medication to a ...

[Mr.Thesaxman]

A nurse is preparing to administer a prn medication to a 6-year-old child for pruritus. Which order should the nurse question?
 
  A.
  Chlorpheniramine (Chlor-Trimeton) 2 mg every 6 hours with food
  B.
  Cyproheptadine (Periactin) 2-4 mg every 8-12 hours
  C.
  Diphenhydramine (Benadryl) 50 mg PO every 4-6 hours
  D.
  Hydroxyzine (Atarax) 2 mg/kg/day in divided doses every 6-8 hours

Question 2

A student is caring for a burned child on the burn unit. The student is performing burn care. Which action by the student requires intervention by the registered nurse?
 
  A.
  Applies silver nitrate (0.5 AgNO3) to the child's face
  B.
  Applies silver sulfadiazine (AgSD) to the child's face
  C.
  Checks electrolyte levels before applying silver nitrate
  D.
  Uses Sulfamylon (mafenide acetate) on child's ear burns

[dyrone]

Answer to Question 1

ANS: C
For a child 6 to 12 years of age, the dose of Benadryl is 12.5-25 mg every 4-6 hours, not to exceed 150 mg/day. The other doses are appropriate.

Answer to Question 2

ANS: A
Silver nitrate cannot be used on the face. The other actions are appropriate.