A nurse is preparing to administer a prn medication to a 6-year-old child for pruritus. Which order should the nurse question?
A.
Chlorpheniramine (Chlor-Trimeton) 2 mg every 6 hours with food
B.
Cyproheptadine (Periactin) 2-4 mg every 8-12 hours
C.
Diphenhydramine (Benadryl) 50 mg PO every 4-6 hours
D.
Hydroxyzine (Atarax) 2 mg/kg/day in divided doses every 6-8 hours
ANS: C
For a child 6 to 12 years of age, the dose of Benadryl is 12.5-25 mg every 4-6 hours, not to exceed 150 mg/day. The other doses are appropriate.
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General guidelines for palpating peripheral pulses include
a. positioning the patient in a supine position with the head of the bed elevated 90°. b. counting the pulse for 30 seconds and multiplying by 2. c. palpating the pulses on both sides of the patient's body simultaneously, with the exception of the carotid pulse. d. palpating with the finger pads of all five fingers.
A nurse is reviewing a patient's medications prior to administration. Which drug-to-drug interactions should most concern the nurse in a patient with a history of heart failure and a potas-sium level of 5.5 mEq/L?
a. Furosemide (Lasix) and enalapril (Vasotec) b. Amlodipine (Norvasc) and spironolactone (Aldactone) c. Eplerenone (Inspra) and spironolactone (Aldactone) d. Metoprolol (Lopressor) and furosemide (Lasix)
Placing the baby at mother's breast facilitates early latch and promotes successful breastfeeding. When should breastfeeding be initiated?
1. 6 to 12 hours after birth 2. Within 1 hour of birth 3. 24 hours after birth 4. 48 hours after birth
Which of the following groups is most likely to experience an unintentional injury resulting from a fall?
a. Adults who are always in a hurry, rushing from here to there b. Adults who are older than 65 years c. Toddlers who are just learning to walk d. Young children who run around without looking where they are going