The pediatric nurse examines a child with mildly elevated blood ...

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The pediatric nurse examines a child with mildly elevated blood pressure who is 10 above the upper weight limits for his or her age. What is the nurse's priority teaching point?
 
  A) Encourage activity and begin weight loss diet.
  B) Explain how to administer diuretics to reduce adverse effects.
  C) Involve social services in monitoring this child's diet.
  D) Explain the most common adverse effects of calcium channel blockers.

Question 2

When the nurse administers an anticholinergic drug to a child, the nurse would carefully assess for what effect that is more likely to occur in children than in adults?
 
  A) Rashes
  B) Pupil dilation
  C) Heat intolerance
  D) Tachycardia

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Answer to Question 1

A
Feedback:
Treatment of childhood hypertension should be done very cautiously because the long-term effects of the antihypertensive agents are not known. Lifestyle changes should be instituted before drug therapy is started if at all possible. Weight loss and increased activity may bring an elevated blood pressure back to normal in many children. As a result, the priority teaching point is to help parents understand how to adapt the child's diet to reduce weight and introduce family activities to increase exercise. Drug teaching would only be required if lifestyle changes is inadequate to lower blood pressure. There is no need to involve social services.

Answer to Question 2

C
Feedback:
Children are often more sensitive to the adverse effects of the drugs, including constipation, urinary retention, heat intolerance, and confusion. Similar effects are seen in children related to pupil dilation. Tachycardia and rashes would not be associated with these drugs in children.

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TYSM

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Gracias!