The nurse is discharging the child with sickle cell disease who has undergone a splenectomy. The child has an allergy to penicillin. The nurse should anticipate teaching about which prophylactic medication?

The initial treatment regimen of isoniazid, rifampin, and ethambutol is prescribed for the adolescent who has a positive tuberculin skin test. The client confides that she thinks she may be pregnant and asks if she should be taking these medications. Which rationale should be the basis for the nurse’s response?

The home care nurse is observing the child with asthma self-administer a dose of albuterol via a metered-dose inhaler with a spacer. Within a short time, the child begins to wheeze loudly. What should the nurse do?

The HCP’s progress notes state a plan to initiate an oral NSAID for the child’s pain. Based on this information, the nurse should consult with the HCP when noting that which medication was the only analgesic prescribed?

The clinic nurse is reviewing prescriptions with the parents of the school-aged child with newly diagnosed generalized contact dermatitis. Which prescription should the nurse question with the HCP?

The adolescent, who is receiving morphine sulfate via PCA, has itching. Which medication listed on the client’s MAR should the nurse plan to administer to relieve the itching?

While the nurse is completing the assessment of the child with Reye’s syndrome, the parent states that multiple OTC medications were given before hospitalization to treat the child’s influenza symptoms. Which medication stated by the parent is most important for the nurse to report to the HCP?

The HCP’s progress notes state a plan to initiate an oral NSAID for the child’s pain. Based on this information, the nurse should consult with the HCP when noting that which medication was the only analgesic prescribed?

The nurse is concerned that the adolescent may be developing a side effect of methotrexate. Which test or exam results should the nurse review prior to administration?

The child with CF is receiving albuterol. Which response should the nurse expect if albuterol is achieving the desired therapeutic effect?

Methylphenidate hydrochloride is prescribed for the child with ADHD. The nurse should teach the parents to administer the medication in which way?

The child, admitted to the ED, is experiencing nausea and vomiting, salivation, respiratory muscle weakness, and depressed reflexes an hour after exposure to pesticides. Which medications should the nurse anticipate administering to the child?

The child is to start on medication therapy for enuresis that has not resolved with behavioral interventions. Which medication should the nurse anticipate being prescribed for the child?

The child with CF is prescribed vitamin A supplements. Which finding by the clinic nurse indicates that the vitamin has been effective?

The l1-year—old with type 1 DM is learning to use insulin pens for basal-bolus insulin therapy with both a very-long-acting insulin and rapid-acting insulin. Which action by the child should indicate to the nurse that additional teaching is needed?

The nurse completes teaching insulin administration to the parent of the toddler newly diagnosed with type 1 DM. The nurse concludes that the teaching was successful when the parent makes which statement?

The nurse is caring for the child from Italy. The child is crying, and the interpreter is stating that the child has extreme pain. What should be the nurse’s priority?

The new nurse is initiating TPN for four hospitalized pediatric clients. The experienced nurse should intervene when observing the new nurse attach the TPN infusion tubing to which IV line?

The parent of the 2—year—old with asthma has been given instructions about asthma control and Step Therapy. Which statement, if made by the parent, should indicate to the nurse that the parent has an adequate understanding of the instructions?

The 3-year-old with LTB is receiving aerosolized racemic epinephrine. Which assessment finding should the nurse recognize as indicating that the treatment is having an adverse effect?

Prior to administering filgrastirn, the nurse reviews the laboratory report results for the 3-year-old who completed the second round of chemotherapy three weeks ago. Which finding indicates a therapeutic response to filgrastim?

The clinic nurse is teaching the parent how to give eye drops to the 3-year—old who has bacterial conjunctivitis and purulent drainage out of both eyes, swollen eyelids, and inflamed conjunctiva. What information should the nurse provide?

The nurse is teaching the parent of the 3-year—~old being treated with vincristine sulfate for Wilms’ tumor. The nurse should inform the parents to immediately notify the HCP of which most significant adverse effect?

The nurse is reviewing information for the 6-month-old who is being given ranitidine. Which filldillg should the nurse identify as an adverse effect of ranitidine?

The nurse is developing the plan of care for the 7-year-old with encopresis who has been started on lactulose. Which outcome would be most appropriate for the nurse to establish?

The HCP prescribes amoxicillin for the 8—month-old with acute otitis media that has not resolved- Which statement to the parents is correct regarding the primary purpose of amoxicillin?

The 9—year-old with SLE is receiving large doses of prednisolone- Which laboratory finding should the nurse recognize as an untoward effect of the medication?

The nurse working on the pediatric unit has scheduled medications to administer at this time. Which assessments should prompt the nurse to conclude that the prescribed medication should be withheld and the HCP immediately notified?

The nurse is preparing an educational program on immunizations for parents of children 11 to 12 years of age. To ensure the information presented is accurate for this age group, which immunizations should the nurse plan to address?

The nurse observes a colleague about to administer an IM injection to the 12-month-old. Which intervention requires the nurse to intervene?

The new nurse asks the experienced nurse why the first dose of the MMR vaccine is normally given at 12 to 15 months of age and not earlier, except with international travel. Which explanation by the experienced nurse is correct?

The nurse is assessing the 13-year-old who has been taking somatropin recombinant. Which findings should the nurse report to an HCP?

The 14-year-old who has GERD is receiving lansoprazole. Which response should the nurse expect if lansoprazole is achieving the desired therapeutic effect?

The nurse is teaching the 14-year-old who is being given captopril for the first time. Which explanation would be most appropriate?

The 16-year-old is taking acyclovir. Which statement, if made by the adolescent, should indicate to the nurse that the medication is having the desired therapeutic effect?

The child weighing 20 kg is to receive ceftriaxone 2 g IVPB q12h and dexamethasone 3 mg IV—push q6h for 4 days to treat Haemopllilus influenzae type b meningitis. The drug reference states that the usual dose of ceftriaxone is 100 mg/kg/dose with a maximum daily dose of 4 g. The recommended dose of dexamethasone for treating H. influenzae type b meningitis is 0.15 mg/kg q6h for 2 to 4 days. Based on the medications prescribed and these findings, which conclusion by the nurse is correct?

The nurse is preparing to administer morphine sulfate IV to the child in severe pain. The child has an IV infusion of DSW at 50 mL/hr through a PICC. Which intervention is best when administering the medication?

The hospitalized child who has a blood lead level of 50 mcg/dL is to receive succimer 10 mg/kg oral capsule q8h for 5 days. The child weighs 20 kg. Which intervention by the student nurse should be corrected by the observing nurse?