This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 42-lb (19-kg) child is admitted for initial management of cardiomyopathy (CMP). The physician ... (Read 9 times)

CORALGRILL2014

  • Hero Member
  • *****
  • Posts: 525
on: Jun 28, 2018
A 42-lb (19-kg) child is admitted for initial management of cardiomyopathy (CMP). The physician leaves orders for carvedilol (Coreg), 15 mg orally twice a day. What action by the nurse is most appropriate?
 
  A.
  Ask the provider to clarify the dose.
  B.
  Consult pharmacy about the drug choice.
  C.
  Give the medication as ordered.
  D.
  Withhold any antacids in this patient.

Question 2

A nurse is assessing a school-age child admitted with new heart murmur, arthritis-type symptoms, erythema marginatum, and fever. When taking the child's history, which question is most likely to provide important information?
 
  A.
  Did your child have any vaccinations recently?
  B.
  Has your child been exposed to contagious illnesses?
  C.
  Has your child had a sore throat in the last 2 to 3 weeks?
  D.
  Is there a family history of autoimmune disorders?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ciecieme

  • Sr. Member
  • ****
  • Posts: 331
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
Coreg is a beta blocker and is used in the treatment of CMP. The safe dose for this drug is 0.07 mg/kg, with a maximal dose of 0.5 mg/kg. The dose of 15 mg is far above the safe dose range. The nurse should consult the provider about the dose. Consulting pharmacy about the appropriateness of this drug is unnecessary. There is no contraindication to antacids.

Answer to Question 2

ANS: C
This child is displaying manifestations of rheumatic fever, which typically arises after an episode of acute pharyngitis. The nurse should ask about recent sore throats. The other questions are not as likely to provide vital information.


CORALGRILL2014

  • Member
  • Posts: 525
Reply 2 on: Jun 28, 2018
:D TYSM

Viet Thy

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

Recent studies have shown that the number of medication errors increases in relation to the number of orders that are verified per pharmacist, per work shift.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

John Locke (1632‑1704) was a British philosopher and physician who laid the groundwork for an ... John Locke (1632‑1704) was a British philosopher and physician who laid the groundwork for an ...
Initial and final methanol concentrations Initial and final methanol concentrations
Marketing Management (13th Edition) Marketing Management (13th Edition)
Long-term relationships, especially those who are married, having a child Long-term relationships, especially those who are married, having a child
Data management short answer q Data management short answer q
17th Century Physician Examining a Urine Specimen 17th Century Physician Examining a Urine Specimen
Video: A Human Karyotype Preparation Animation

For a complete list of videos, visit our video library