« previous next »

Author Question: A parent asks an NP which over-the-counter medication would be best to give to a 5-year-old child ... (Read 64 times)

berenicecastro

  • Hero Member
  • *****
  • Posts: 581
on: Jul 24, 2018
A parent asks an NP which over-the-counter medication would be best to give to a 5-year-old child who has a viral respiratory illness with nasal congestion and a cough. The NP should recommend which of the following?
 
  a. Diphenhydramine (Benadryl)
  b. Increased fluids with a teaspoon of honey
  c. Over-the-counter pseudoephedrine with guaifenesin (Sudafed)
  d. An antitussive/expectorant combination such as Robitussin DM

Question 2

A patient who has atrial fibrillation (AF) has been taking warfarin (Coumadin). The primary care nurse practitioner (NP) plans to change the patient's medication to dabigatran (Pradaxa). To do this safely, the NP should:
 
  a. initiate dabigatran when the patient's international normalized ratio (INR) is less than 2.
  b. start dabigatran 7 to 14 days after discontinuing warfarin.
  c. begin giving dabigatran 1 week before discontinuing warfarin.
  d. order frequent monitoring of the patient's INR after dabigatran therapy begins.


Li Jun

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
Nonpharmacologic treatments are recommended for children younger than 6 years. Adequate hydration can decrease cough, thin secretions, and hydrate tissues. A teaspoon of honey has been shown to be effective in reducing cough in small children. Diphenhydramine is an antihistamine that dries nasal secretions but does not aid in decongestion. Sudafed and Robitussin are not recommended in children younger than 6 years.

Answer to Question 2

A
There are no requirements for monitoring the INR or other measures for patients taking dabigatran. When changing from warfarin, it is recommended that dabigatran be initiated when the INR is less than 2.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

Colchicine is a highly poisonous alkaloid originally extracted from a type of saffron plant that is used mainly to treat gout.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Reindeer antlers grow again each year under a layer of fur called velvet. This reindeer is losing th Reindeer antlers grow again each year under a layer of fur called velvet. This reindeer is losing th
Measles. A photograph of a child stricken with measles, showing the tell-tale sign of the skin rash. Measles. A photograph of a child stricken with measles, showing the tell-tale sign of the skin rash.
The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own
Early in the twentieth century, when malnutrition was common, companies such as this one advertised Early in the twentieth century, when malnutrition was common, companies such as this one advertised
A child in an orphanage in Juba, Sudan. The treatment of this child is likely to affect his ability ... A child in an orphanage in Juba, Sudan. The treatment of this child is likely to affect his ability ...
Adult, Child, and Infant CPR Standards Adult, Child, and Infant CPR Standards
Video: Glucagon (glycogenolysis and gluconeogenesis)

For a complete list of videos, visit our video library