A family is preparing for travel and the parents report that their 5-year-old child has frequent motion sickness. The nurse will tell the parents to ask the provider about which antihistamine to help prevent symptoms?
a. Desloratadine [Clarinex]
b. Dimenhydrinate [Dramamine]
c. Hydroxyzine [Vistaril]
d. Promethazine [Phenergan]
B
Some antihistamines, including dimenhydrinate and promethazine, are labeled for use in motion sickness. Promethazine, however, is contraindicated in children under age 2 years and should be used with caution in children older than 2 years because of the risks for severe respiratory de-pression. Desloratadine and hydroxyzine are not used for motion sickness.
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The healthcare organization is planning to implement patient-centered care. What aspects of this delivery model should be emphasized when training the staff? (Select all that apply.)
1. Supports client autonomy 2. Focuses on dignity and respect 3. Adheres to principles of client privacy 4. Care is organized around the client's needs 5. Partnering with the client and families occurs
The nurse is monitoring a patient who has had a subarachnoid bleed. The nurse plans care based on the knowledge that the risk for cerebral vasospasm is highest in Fisher grade _______ aneurysms
Fill in the blank(s) with correct word
The client has experienced neck trauma from a car crash. The airway is patent and the client is hemodynamically stable. For what associated injury should the nurse be particularly alert?
A. Hepatic laceration and hematoma B. Unilateral hemothorax C. Cervical spinal injury D. Crushed pelvis
The primigravida patient is in the second stage of labor. The fetal heart rate baseline is 170, with minimal variability present. The nurse performs fetal scalp stimulation. The patient's partner asks why the nurse did that
What is the best response by the nurse? "I stimulated the top of the baby's head to: 1. "Wake him up a little." 2. "Try to get his heart rate to accelerate." 3. "Calm the baby down before birth." 4. "Find out whether he is in distress."