A neonate diagnosed with congestive heart failure has been prescribed furosemide. What
changes to the dosage or time intervals between doses should be made? - ANS The time
between doses should be lengthened.
Ferrous fumarate 30 mg is prescribed for an infant. The ferrous fumarate solution contains 45
mg/0.6 mL. How much solution will the nurse administer? Record your answer using one
decimal place. Include a leading zero if applicable. _____ mL - ANS 0.4
A school nurse is teaching a 12-year-old child with recently diagnosed type 1 diabetes about the
action of insulin injections. What statement indicates that the child understands how insulin
works in the body? - ANS "Glucose is carried into cells, where it is used for energy."
A nurse is interviewing an adolescent who is to start a chemotherapeutic drug regimen that
includes vincristine. Which side effect is it most important for the nurse to prepare the
adolescent to expect? - ANS Alopecia
A nurse is teaching a 10-year-old child with type 1 diabetes about insulin requirements. When
does the nurse explain that insulin needs will decrease? - ANS When active exercise is
performed
The alkylating chemotherapeutic agent cyclophosphamide is prescribed for a school-aged child
with cancer. What is the most important nursing assessment while the child is receiving this
medication? - ANS Daily intake and output
A school-aged child with leukemia is receiving vincristine as part of the medical regimen. For
what toxic response does the nurse assess the child? - ANS Peripheral neuropathy
A 15-year-old high school student with hay fever has been taking a prescribed first-generation
antihistamine every 8 hours for the past 2 days. The adolescent tells the nurse, "This medicine
is making me sleepy. Can you change it to something else?" How should the nurse respond? -
ANS "The drowsiness usually decreases after several days."
Which condition may be the result of an adverse drug effect associated with administration of
chloramphenicol in infants? - ANS Gray syndrome
A nurse is completing the discharge protocol for a 14-year-old adolescent with osteomyelitis.
The nurse teaches the parents how and when to administer the intravenous antibiotic at home.
, The schedule for administration is four times a day. At what times should the parents administer
the antibiotic? - ANS 6:00 AM, 12:00 PM, 6:00 PM, 12:00 AM
When considering the side effects of dactinomycin and doxorubicin therapy, the nurse can
suggest to the parents of a child receiving these medications that the child should take which
precaution? - ANS Wear a baseball cap
A nurse teaches the parents of a 4-year-old child who is to receive digoxin elixir twice a day at
home about the basic principles regarding its administration. What statement indicates to the
nurse that they need further teaching? - ANS "We should give the digoxin twice a day, at
breakfast and dinner."
A nurse is caring for a 10-year-old child with cystic fibrosis who is taking a pancreatic enzyme
replacement. Which effect of the medication will the nurse look for that may indicate the enzyme
is inadequate? - ANS Abdominal cramping
A preschooler is to have a peripheral intravenous catheter inserted. How can the nurse make
the experience minimally traumatic for the child? - ANS By applying a topical analgesic before
the procedure
After reviewing the immunization record of a 4-year-old child with acute bronchitis and mild
febrile illness, the nurse notices the need for a consecutive vaccination of DTaP. What advice
should the nurse give to the child's mother? - ANS "The child needs to receive another Tdap
vaccine."
A peripherally inserted central venous catheter has just been inserted into the arm of a
7-year-old child. A peripheral intravenous (IV) line is still in place, and an antibiotic is to be
administered immediately. What is the nurse's first action? - ANS Connecting the IV antibiotic to
the peripheral line
A nurse is preparing to administer vaccinations to four different babies.Which baby's vaccination
requires correction? - ANS The 12-month-old baby
A combination of drugs, including vincristine and prednisone, is prescribed for a child with
leukemia. For which adverse effect of vincristine will the nurse assess the child? - ANS
Neurologic complications
An adolescent with leukemia is receiving vincristine. The mother reports that the child is
complaining of feeling "tingles" all over. What is the best response by the nurse regarding this
effect of the medication? - ANS "It is a neurological side effect."
A child being treated with cardiac drugs developed vomiting, bradycardia, anorexia, and
dysrhythmias. Which drug toxicity is responsible for these symptoms? - ANS Digoxin
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