An 18-month-old child develops an urticarial reaction after a transfusion. The prescriber orders intravenous promethazine (Phenergan). What will the nurse do?
a. Give the medication as ordered.
b. Monitor the child for bronchoconstriction.
c. Question the order.
d. Request an order to give the drug orally.
ANS: C
Promethazine can cause severe respiratory depression, especially in very young patients; it is contraindicated in children younger than 2 years. The medication should not be given as ordered. It is not safe to give the drug and then monitor for bronchoconstriction. The drug is not safe in this age group when given orally.
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