Which is the best nursing response to a parent asking about antidiarrheal medication for her 18-month-old child?
a. "It is okay to give antidiarrheal medication to a young child as long as you follow the directions on the box for correct dosage.".
b. "Antidiarrheal medication is not recommended for young children because it slows the body's attempt to rid itself of the pathogen.".
c. "I'm sure your child won't like the taste so give her extra fluids when you give the medication.".
d. "Antidiarrheal medication will decrease the frequency of stools, but give your child Gatorade to maintain electrolyte balance.".
B
Antidiarrheal medications may actually prolong diarrhea because the body will retain the organism causing the diarrhea, further increasing fluid and electrolyte losses. The use of these medications is not recommended for children aged younger than 2 years because of their binding nature and potential for toxicity. It is not appropriate to advise a parent to use antidiarrheal medication for a child aged younger than 2 years. Education about appropriate oral replacement fluids includes avoidance of sugary drinks, apple juice, sports beverages, and colas.
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After teaching a group of nursing students about xanthine derivatives, the instructor determines that the teaching was successful when the students state which of the following? Select all that apply
A) Xanthine derivatives cause flushing. B) The action of xanthine derivatives leads to bradycardia. C) Xanthine derivatives cause a reduction in airway inflammation. D) Xanthine derivatives cause hypoglycemia. E) Xanthine derivatives stimulate the CNS to promote bronchodilation.
Joe and Carol, two of the RNs on Unit 22, are discussing recent incidents on the unit that have involved patients and visitors uttering threats or making demeaning remarks to staff during evening hours
Joe observes that unless someone shoots at him, he is not concerned because "words can't hurt you." Joe's remarks: a. Illustrate common misperceptions about the nature of violence. b. Accurately depict the difference between violence and aggression. c. Are partially correct because verbal re-marks do not cause injury. d. Reveal possible issues that Joe relates to violence in his personal life.
A patient, diagnosed with multiple sclerosis, has an abnormal gait that is associated with lower motor neuron disease. What is the term used to describe this gait?
A) Spastic hemiparesis gait B) Shuffling gait C) Stropping gait D) Steppage gait
The nurse enters a client's room with a suspected head injury in preparation for completing a neurological assessment that includes a Glasgow Coma Score (GCS). Upon entering the room and turning on a light, the nurse notes that the client doesn't open his eyes immediately. Which is the nurse's next action?
A. Complete the client's vital signs and recheck the client in 30 minutes. B. Gently touch the client's arm to see if the client spontaneously awakens. C. Turn the light off, leave the room, and document that the client is sleeping. D. Vigorously rub the client's sternum to determine if the client responds to painful stimuli.