Author Question: A 42-lb (19-kg) child is admitted for initial management of cardiomyopathy (CMP). The physician ... (Read 29 times)

CORALGRILL2014 · **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?

ciecieme · **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.