A child has been prescribed to take tetracycline hydrochloride. ...

[RRMR]

A child has been prescribed to take tetracycline hydrochloride. The nurse providing medication information to the mother would plan to emphasize which of the following most important instructions about giving this medication to the child?
 
  1. Give the medication with milk.
  2. Give the medication with ice cream.
  3. Mix the medication in a Styrofoam cup.
  4. Use a straw when giving the medication.

Question 2

The nurse is caring for a child with hemophilia and is reviewing the results that were sent from the laboratory. The nurse would expect to note which of the following results in this child?
 
  1. Shortened prothrombin time (PT)
  2. Prolonged prothrombin time (PT)
  3. Shortened partial thromboplastin time (PTT)
  4. Prolonged partial thromboplastin time (PTT)

[guyanai]

Answer to Question 1

4

Rationale: Because tetracycline can cause staining of the teeth, straws should be used and the mouth rinsed after administration. The medication should be administered 1 hour before or 2 hours after the administration of milk, which would eliminate give the medication with milk and give the medication with ice cream. Mix the medication in a Styrofoam cup is unnecessary.

Answer to Question 2

4

Rationale: PTT measures the activity of thromboplastin, which is dependent on intrinsic factors. In hemophilia, the intrinsic clotting factor VIII (antihemophilic factor) is deficient, resulting in a prolonged PTT. Shortened prothrombin time (PT), prolonged prothrombin time (PT), and shortened partial thromboplastin time (PTT) are incorrect. The PT may not necessarily be af-fected in this disorder.

[RRMR]

Excellent

[bblaney]

Gracias!