A clinic nurse is teaching the parents of toddler about the safe ...

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A clinic nurse is teaching the parents of toddler about the safe and effective use of an EpiPen after the child was diagnosed with severe nut allergies. What instruction should the nurse convey to the parents?
 
  A) It's prudent to administer a small dose of epinephrine if you want to prevent a future reaction.
  B) Only use your EpiPen if you've tried oral medications and they've been ineffective.
  C) The thigh is usually the ideal place to inject the EpiPen.
  D) Keep administering repeated doses of epinephrine until your child's symptoms abate.

Question 2

A patient is given Abelcet instead of amphotericin B. What is the advantage of Abelcet over amphotericin B?
 
  A) It is a newer medication with a lower cost.
  B) It is the same as amphotericin B in hepatotoxicity.
  C) It reaches higher concentration in diseased tissue.
  D) It constricts afferent renal arterioles to reduce blood flow.

[katieost]

Answer to Question 1

C
Feedback:
The thigh is the preferred site for autoinjection, providing more rapid absorption and higher blood levels of epinephrine than the arm in children and adults for either intramuscular or subcutaneous administration. Epinephrine is not administered as a prophylactic treatment. Emergencies preclude the use of oral medications, and repeated injections may result in toxicity.

Answer to Question 2

C
Feedback:
Lipid formulations, such as Abelcet, reach higher concentrations in diseased tissues than in normal tissues, so larger doses can be given to increase therapeutic effects. Abelcet does not cost less than amphotericin B. Abelcet has fewer side effects than amphotericin B. Amphotericin B constricts afferent renal arterioles to reduce blood flow.

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