Pharmacology Quiz 1 Questions and Correct Answers the Latest Update and Recommended Version
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Course
Pharmacology 5334
Institution
Pharmacology 5334
A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to
pediatric clients should the nurse anticipate?
1. Tendon rupture
2. Cartilage erosion
3. Staining of developing teeth
4. Central nervous system toxicity
→ Fluoroquinolones may cause tendon rupture in chi...
Pharmacology Quiz 1 Questions and
Correct Answers the Latest Update and
Recommended Version
A 5-year-old child is given fluoroquinolones. Which potential adverse effect unique to
pediatric clients should the nurse anticipate?
1. Tendon rupture
2. Cartilage erosion
3. Staining of developing teeth
4. Central nervous system toxicity
→ Fluoroquinolones may cause tendon rupture in children. Nalidixic acid can cause
cartilage erosion, and tetracycline can cause staining of developing teeth.
Hexachlorophene may cause central nervous system toxicity in infants.
The nurse is assessing the vaccination profile for a diphtheria, tetanus, and pertussis (DTaP)
vaccine and a Haemophilus influenzae type b (Hib) conjugate vaccine in a 5-year-old child.
Which dose was incorrectly given to the child?
→ Routine vaccination of DTaP consists of five injections: the first dose at 2 months, second
dose at 4 months, third dose at 6 months, fourth dose between 15 and 18 months, and
fifth dose between 4 and 6 years.
→
→ The Hib vaccination consists of four doses: the first dose at 2 months, second dose at 4
months, third dose at 6 months, and fourth dose between 12 and 15 months. Therefore
the fourth doses of both the DTaP and Hib vaccines were administered too early. The
first, second, and third doses were administered at the appropriate ages.
Which factors should the nurse consider when administering medications to adolescents? Select
1. Explanation of the medication administration procedure by the nurse to the client
2. Interactive communication regarding the procedure of medication administration
3. Implementation of comfort measures like holding
4. Acceptance of aggressive behavior with certain limitations
5. Encouragement of self-expression, individuality, and self-care
→ During administration of medication to the children of all age groups, the nurse should
consider certain points. For adolescents, the nurse should provide a description
regarding the procedure being conducted. The adolescent must be allowed to express
fears and experiences regarding the administration, and self-expression, individuality,
and self-care should be allowed and encouraged. Implementing comfort measures like
holding are more appropriate for a younger age group, and accepting aggressive
behavior with certain limitations is appropriate only for toddlers.
A child being treated with cardiac drugs developed vomiting, bradycardia, anorexia, and
dysrhythmias. Which drug toxicity is responsible for these symptoms?
→ Digoxin helps improve pumping efficacy of the heart, but overdose can cause toxicity
leading to nausea, vomiting, bradycardia, anorexia, and dysrhythmias. The side
effects of nesiritide may include effects like headache, insomnia, and hypotension.
Dobutamine does not cause nausea or vomiting but may cause hypertension and
hypotension. Spironolactone may cause edema.
Which is the drug of choice for treating Reye syndrome in pediatric clients?
Aspirin
Mannitol
Ibuprofen
Furosemide
→ Mannitol is a diuretic that helps in reducing cerebral edema and intracranial pressure.
Reye syndrome is caused by the administration of aspirin in pediatric clients with viral
infections like chicken pox, so aspirin and drugs that contain aspirin must not be given
to reduce fever during the viral infections. Ibuprofen helps reduce fever associated
with viral disease but is not useful in the treatment of Reye syndrome. Furosemide is a
loop-diuretic which relieves pulmonary edema, but it has no effect on cerebral edema.
Which drug increases the risk of Reye syndrome in children?
→ Aspirin increases the risk of Reye syndrome in children. Naloxone, ibuprofen, and
acetaminophen can be used, but the child should be assessed for renal and liver
functioning before prescribing.
A child who reports shortness of breath, wheezing, and coughing is found to have pulmonary
edema and is prescribed furosemide. Which nursing interventions would be beneficial to the
client? Select all that apply.
1
Administering the drug on an empty stomach
Correct 2
Checking the child's weight every day
Correct 3
Calculating the dose of drug as carefully as possible
4
Exposing the child to sunlight for increasing periods
Correct 5
Assessing the child regularly to help prevent electrolyte loss
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