A child is seen in the emergency department after being bitten by ...

[cagreen833]

A child is seen in the emergency department after being bitten by a squirrel while playing outside. Which discharge instruction to the parents is most important?
 
  A.
  Give acetaminophen (Tylenol) for pain.
  B.
  Have the child rest tonight.
  C.
  Keep the wound clean and dry.
  D.
  Return here in 3 days.

Question 2

A child is being sent home from the doctor's office with a prescription for azithromycin (Zithromax) for presumed cat-scratch disease. Which instruction to the parents is most important?
 
  A.
  Be sure to treat your cat for fleas.
  B.
  Don't take this unless the scratch gets infected.
  C.
  Make sure he takes all of this antibiotic.
  D.
  You should not have cats around small children.

[deja]

Answer to Question 1

ANS: D
This child is at risk of rabies. Because of the disease's potentially fatal course, it is imperative that the child complete the rabies vaccination series. Rabies vaccination is given on the day of exposure, and then again on days 3, 7, and 14. The other instructions are not specific for this disease.

Answer to Question 2

ANS: C
As with any antibiotic, taking all the prescribed medication is a priority instruction. For some reason, cats with fleas have higher rates of the bacteria that causes the disease, so flea control is important. The other two instructions are not appropriate.

[cagreen833]

Thanks for the timely response, appreciate it

[mohan]

Excellent