The nurse is caring for a 5-year-old child. The child is taking a drug that has a known therapeutic range in adults, and the nurse checks that the ordered dose is correct and notes that the child's serum drug level is within normal limits
The child complains of a headache, which is a common sign of toxicity for this drug. Which action will the nurse take?
a. Administer the drug since the drug levels are normal.
b. Attribute the headache to non-drug causes.
c. Hold the next dose and contact the provider.
d. Request an order for an analgesic medication.
ANS: C
The therapeutic ranges established for many drug levels are based on adult studies, so it is important for the nurse to assess pediatric patients in conjunction with monitoring drug levels. The nurse should notify the provider of the reaction. Because headaches are a symptom of toxicity for this drug, the nurse should not ignore the symptom.
You might also like to view...
The patient is admitted to the ICU with a diagnosis of cardiogenic shock. The patient's VS includes HR 135 beats/min with weak peripheral pulses. The lungs have crackles in the bases bilaterally. O2 saturation is 90% on 4L/NC
The physician orders diuretics and vasodilators. The nurse expects which responses to the medications. a. ?3? SVR, ?3? preload c. ?3? SVR, ?5? preload b. ?5? SVR, ?5? preload d. ?5? SVR, ?3? preload
A client was admitted for fluid volume overload. Over the course of several days, the client is progressively becoming more lethargic and the client is sleeping throughout the day. The nurse contacts the physician to report neurological changes
When the family arrives, they ask if the patient has been using a machine for sleep apnea. What does this situation suggest to the nurse? a. The patient does not have sleep apnea. b. The patient did not have a complete assessment done. c. The client's fluid volume overload is causing pulmonary edema. d. The physician did not communicate that the client has sleep apnea.
A history of maternal drug use is most closely related to a neonate's ability to:
a. absorb drugs from the gastrointestinal tract. b. excrete drugs by the kidney. c. metabolize drugs in the liver. d. bind drugs onto plasma proteins.
Eighty percent of older adults have one chronic illness, and 60% have at least two. The older adult's ability to adapt determines:
A) whether they are ill or healthy. B) degree of loss of the physiologic reserve of the various organ systems C) that not wanting to change makes them more determined. D) how quickly they become overwhelmed with the stress of it all.