This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A child with a febrile illness is taking a cephalosporin. While in the clinic for a follow-up visit, ... (Read 27 times)

michelleunicorn

  • Hero Member
  • *****
  • Posts: 565
on: Jul 24, 2018
A child with a febrile illness is taking a cephalosporin. While in the clinic for a follow-up visit, the child has a tonic-clonic seizure. The primary care NP should:
 
  a. administer acetaminophen because this is likely a febrile seizure.
  b. reassure the parent that seizures can occur while taking cephalosporins.
  c. ask the child's parent how much of the cephalosporin the child has taken.
  d. suspect the development of a secondary central nervous system infection.

Question 2

A patient who takes carbamazepine (Tegretol) for a seizure disorder is seen by a primary care NP for a routine physical examination. A complete blood count (CBC) reveals a low white blood cell (WBC) count. The NP should:
 
  a. order a WBC differential.
  b. discontinue the carbamazepine.
  c. reassure the patient that this effect is temporary.
  d. decrease the carbamazepine dose and recheck the CBC in 2 weeks.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

juiceman1987

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 24, 2018
Answer to Question 1

C
Seizures can occur with an overdose of cephalosporins, so the NP should determine whether this has occurred. It is not correct to assume that the seizure is fever-related or that it is a normal side effect of the cephalosporin.

Answer to Question 2

A
A benign leukopenia associated with carbamazepine is common and is reversible and dose-related. A WBC differential should be performed before changing the drug regimen.


michelleunicorn

  • Member
  • Posts: 565
Reply 2 on: Jul 24, 2018
Excellent

amandanbreshears

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Patients who have undergone chemotherapy for the treatment of cancer often complain of a lack of mental focus; memory loss; and a general diminution in abilities such as multitasking, attention span, and general mental agility.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Does this child have legs of different lengths or scoliosis? Look at the level of the iliac crests a Does this child have legs of different lengths or scoliosis? Look at the level of the iliac crests a
Examples of altered presentations of illness Examples of altered presentations of illness
A Child with a Cochlear Implant A Child with a Cochlear Implant
Common skin signs are often evidence of an illness or disorder. A wheal is a localized, evanescent ... Common skin signs are often evidence of an illness or disorder. A wheal is a localized, evanescent ...
Jumper cable usage guide. Follow the same connections if using a portable jump box. Jumper cable usage guide. Follow the same connections if using a portable jump box.
Using child-sized dishes at mealtimes can help caregivers monitor portion sizes Using child-sized dishes at mealtimes can help caregivers monitor portion sizes
Video: Optic Nerve and Optic Disk Animation (Part 1 of 2)

For a complete list of videos, visit our video library