Author Question: A nurse has admitted a 10-year-old child to the short-stay unit. The child has complained of chronic ... (Read 43 times)

nelaaney · **on:** Jul 23, 2018

A nurse has admitted a 10-year-old child to the short-stay unit. The child has complained of chronic headaches and his or her mother reports that he or she gives him or her acetaminophen (Tylenol) at least twice a day. What will the nurse evaluate?

A) Renal function
B) Hepatic function
C) Respiratory function
D) Cardiac function

Question 2

What patient populations would the nurse expect is most likely to be prescribed a drug for an off-label use?

A) Adolescent and middle-aged adult patients
B) Patients with diabetes or heart disease
C) Obstetric and neonatal patients
D) Pediatric and geriatric patients

choc0chan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The nurse should evaluate the patient's hepatic function. Severe hepatotoxicity can occur from overuse of acetaminophen. Significant interferences do not occur in the kidney, heart, or lung with acetaminophen.

Answer to Question 2

D
Feedback:
Drugs being used for an off-label purpose are commonly prescribed for pediatric and geriatric populations due to the lack of drug trial information and minimal premarket testing. Often a trial-and-error method is used in treating both the pediatric and geriatric populations when only adult information is known. The geriatric population responds to medication more like children because of their decreased ability to metabolize medications. Adolescents, especially later adolescents, use medications similarly to young adults as do middle-aged adults. Patients with different diagnoses are often involved in drug testing including those with diabetes and heart disease. Drugs are discouraged for use in obstetric patients.