A 20-lb (9-kg) child is having a severe allergic reaction. The ...

[ts19998]

A 20-lb (9-kg) child is having a severe allergic reaction. The school nurse has an EpiPen Jr. auto-injector containing 0.3 mg. Which action by the nurse is the most appropriate?
 
  A.
  Administer the injection.
  B.
  Begin CPR.
  C.
  Call 911 immediately.
  D.
  Give half the injection.

Question 2

A parent calls the pediatric clinic asking for advice on treating lice. The child has already been treated once with lindane (Qwell). Which advice from the nurse is the most appropriate?
 
  A.
  Be sure you are cleaning your house and linens well.
  B.
  Qwell is usually effective after two or three treatments.
  C.
  Switch to malathion (Ovide) and see if that works better.
  D.
  There are some oral medications your child can try.

[rekilledagain]

Answer to Question 1

ANS: C
EpiPen Jr. auto-injectors are available in two strengths: 0.15 mg for children weighing up to 33 lb (15 kg) and one containing 0.3 mg for older children and adults. The nurse has the wrong-size injector. The most appropriate action is to call 911 to access the emergency medical system. The child does not need CPR. Because the injector is automated, you cannot change the amount that is given.

Answer to Question 2

ANS: C
Ovide is a safe, nontoxic lice shampoo that is very efficacious. The mother should not be told to use Qwell again; the FDA has a black box warning against using this as a first-line drug and the American Academy of Pediatrics no longer recommends it at all. There are oral medications that can be used on resistant lice, but the parent needs to try another shampoo first. Cleaning is important, but not as important as treating the lice.

[ts19998]

Thank you

[rekilledagain]

No problemo