Author Question: A mother calls the pediatric clinic and tells the nurse the family is planning a cross-country trip ... (Read 108 times)

jjjetplane

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A mother calls the pediatric clinic and tells the nurse the family is planning a cross-country trip to visit some attractions the children will enjoy.
 
  Her 2-year-old child gets motion sickness soon after starting the car and she would like some scopolamine patches to use. What is the nurse's best response? A) One patch lasts for 3 days. How long will you be driving?
  B) Children cannot receive scopolamine orally or by patch.
  C) It might be better to use the oral form of the drug only on days it is needed.
  D) Scopolamine loses effectiveness if it is used for several days.

Question 2

A 35-year-old male patient is admitted to the hospital with pneumonia. He was originally being treated at home, but became worse when he quit taking his antibiotic prematurely. What is an appropriate nursing diagnosis for this patient?
 
  A) Deficient knowledge: monitoring temperature
  B) Noncompliance
  C) Risk for injury related to hypoxia
  D) Non-adherence: overuse



voltaire123

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Answer to Question 1

B
Feedback:
Scopolamine does not come in a pediatric oral or patch formulation. Scopolamine can only be given subcutaneously, or IV. Because children cannot use the patch, asking how many days they will be traveling or suggesting oral prescription when that form is not available is incorrect. Scopolamine does not lose effectiveness.

Answer to Question 2

B
Feedback:
This patient did not take his antibiotic as directed. He quit taking his medication too soon, probably when he began to feel better so he was noncompliant with care. Why he quit taking the medication is unknown; it could have been a knowledge deficit or inability to pay for the full prescription. This will require further assessment to determine. Further data would need to be collected to determine whether the patient is experiencing hypoxia. He did not overuse his medication so option D is inaccurate.



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