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 32 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
Thanks for the timely response, appreciate it

bigcheese9

  • Member
  • Posts: 333
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

The familiar sounds of your heart are made by the heart's valves as they open and close.

Did you know?

Multiple sclerosis is a condition wherein the body's nervous system is weakened by an autoimmune reaction that attacks the myelin sheaths of neurons.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

A sample prescription written by a physician. A sample prescription written by a physician.
Initial velocities of enzyme-catalyzed reactions Initial velocities of enzyme-catalyzed reactions
Child with disability Child with disability
Child influences on parents, parenting influences on children, and influences of the marital ... Child influences on parents, parenting influences on children, and influences of the marital ...
Typical components of software for a practice management system (PMS). Typical components of software for a practice management system (PMS).
Initial and final methanol concentrations Initial and final methanol concentrations
Video: Acid-base imbalances - respiratory acidosis and alkalosis

For a complete list of videos, visit our video library