Author Question: A nurse in a three drops with respiratory problems has received orders for four patients. What ... (Read 13 times)

cookcarl · **on:** Jul 23, 2018

A nurse in a three drops with respiratory problems has received orders for four patients. What medication order will the nurse question?

A) Tetrahydrozoline (Tyzine) three drops in each nostril for an 8-year-old child
B) Hydrocodone (Hycodan) 10 mg PO for a 5-year-old child
C) Pseudoephedrine (Dorcol) 15 mg PO for a 2-year-old child
D) Diphenhydramine (Benadryl) 5 mg/kg IM for a 10-year-old child

Question 2

A patient asks the nurse what cardiac glycosides do to improve his condition. What is the nurse's best response?

A) They decrease the force of myocardial contractions.
B) They help renal blood flow and increase urine output.
C) They increase heart rate.
D) They increase conduction velocity.

TINA · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The nurse should question the order for hydrocodone. The ordered dose, 10 mg, is an adult dose and should not be given to a 5-year-old. Patients from 2 to 12 years of age should be given between 1.25 and 5 mg/dose. The other medications are all correct dosages for the age of the child for whom they were prescribed.

Answer to Question 2

B
Feedback:
Cardiac glycosides increase intracellular calcium and allow more calcium to enter myocardial cells. This action causes an increased force of myocardial contraction, an increased cardiac output, and renal perfusion that increases urine output. Cardiac glycosides also serve to slow the heart rate and decrease conduction velocity.