SUBSCRIBE NR 328 Pediatric Pharmacology Quiz 2 1. Penicillin G and probenecid are prescribed for an adolescent who has syphilis. The adolescent asks the nurse why two medicines are needed. What should the nurse explain about the rationale for this combination therapy? Answer - probenecid delays excretion of penicillin g so the blood level stays stable longer 2. A nurse counsels an infant's mother about drug dosage. Which statement indicates the need for further counseling? Answer i should not re-administer any spilled drugs to avoid over compensation 3. A child who has been undergoing prolonged steroid therapy takes on a cushingoid appearance. What will the nursing assessment probably reveal? Select all that apply. Answer truncal obesity and thin extremities 4. The nurse is caring for a child with Reye syndrome. Which nursing interven - tions would be beneficial to the child? Select all that apply. Answer Maintain the head and neck in a neutral position. Assess the vital signs of the child. Monitor the child for seizure activity. Provide a quiet environment for the child. 5. A senior nurse teaches a nursing student about how to treat poisoning in young children. SUBSCRIBE Which statement by the nursing student indicates the need for further teaching? Answer "Syrup of ipecac should be administered immediately after poisoning." 6. What will a nurse teach the parents of a toddler with newly diagnosed cystic fibrosis about the administration of vitamins A, D, E, and K? Answer Offer them in a water -miscible form. 7. An 18 -month -old toddler who stepped on a rusty nail 4 days ago shows signs of generalized tetanus, including neck and jaw stiffness and facial muscle spasms. The toddler is receiving intravenous diazepam as a muscle relaxant every 4 hours. What response to the medication does the nurse anticipate? Answer Control of hypertonicity and prevention of seizures 8. The nurse is teaching an adolescent with type 1 diabetes who is prescribed a combination of regular insulin and an intermediate -acting insulin to be administered in the morning and throughout the day. The nurse asks the adolescent at what time of day the second dose of NPH insulin should be administered. Which response by the adolescent demonstrates the teaching has been effective? Answer at dinner time 9. A platelet transfusion is to be administered to a child with acute lymphocytic leukemia. What will the nurse do first?
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