Parents ask the nurse why an over-the-counter cough suppressant with sedative side effects is not recommended for infants. Which response by the nurse is correct?

"Cough medicine tastes bad, and infants usually won't take it."

"Infants are more susceptible to central nervous system effects than adults are."

"Babies have a more rapid gastric emptying time and don't absorb drugs well."

"Infants metabolize drugs too rapidly, so drugs aren't as effective."

Answer and Explanation

The Correct Answer is B

a) The taste of cough medicine is not the primary concern for not recommending it to infants. The key issue lies in potential adverse effects, especially on the central nervous system. b) Infants have an immature central nervous system and are more susceptible to the sedative effects of medications. This is a critical factor in avoiding medications with sedative side effects in infants.

c) Gastric emptying time and drug absorption are generally faster in infants, making them more susceptible to rapid drug effects rather than less. However, the central nervous system effects are of greater concern.

d) Infants may metabolize drugs differently, but this does not necessarily mean the drugs are less effective. The primary concern is the potential for increased susceptibility to adverse effects.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B"]

Explanation

A) Hold metformin 24 hours to 48 hours before the CT. This is correct because it reduces the chance of metformin accumulating in the blood and causing lactic acidosis when combined with the contrast dye.

B) Hold metformin 48 hours after the CT. This is also correct because it allows time for the contrast dye to be eliminated from the body before resuming metformin.

C) Double the metformin dose after the CT. This is incorrect and dangerous because it can cause hypoglycemia, low blood sugar, which can lead to confusion, seizures, coma, or death. D) Take metformin as scheduled the day of the CT. This is incorrect and risky because it can result in high levels of metformin in the blood when mixed with the contrast dye, increasing the likelihood of lactic acidosis.

E) Resume metformin at half dose after the CT. This is incorrect and unnecessary because there is no evidence that reducing the dose of metformin after a CT scan with contrast dye has any benefit or reduces any harm.

A. Stop all antibiotics and implement strict use of alcohol-based hand sanitizer. B. Discontinue the cephalosporin and call the provider to recommend vancomycin or metronidazole. C. Call the provider to request an additional antibiotic to override the effects of the cephalosporin. D. Increase the dose of cephalosporin and provide isolation measures.

Correct Answer is B

Explanation

a) Stopping all antibiotics and implementing strict use of alcohol-based hand sanitizer is not the appropriate response to the observed symptoms. The focus should be on addressing the potential infection.

b) The symptoms suggest the possibility of Clostridium difficile infection, and discontinuing the cephalosporin is crucial. Vancomycin or metronidazole is commonly used to treat C. difficile infection.

c) Requesting an additional antibiotic to override the effects of the cephalosporin is not the appropriate course of action. The focus should be on discontinuing the causative antibiotic.

d) Increasing the dose of cephalosporin is contraindicated in the presence of suspected C. difficile infection. Isolation measures may be implemented, but the priority is discontinuing the causative antibiotic and initiating appropriate treatment for the infection.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Parents ask the nurse why an over-the-counter cough suppressant with sedative side effects is not recommended for infants. Which response by the nurse is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The diabetic client is scheduled for a computed tomography (CT) scan with intravenous contrast. What education will the nurse provide? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A client receiving a cephalosporin has passed six distinct-smelling, unformed stools in the first 6 hours of the nurse's shift. What is the nurse's best action?

Correct Answer is B

Explanation

A client taking warfarin presents with bruises, dark tarry stools, and an international normalized ratio (INR) of 4.3. What is the nurse's action?

The nurse is doing discharge teaching with the parent of an asthmatic child who will be going home on steroids. Which of these comments by the parent would indicate an accurate understanding of discharge teaching regarding these medications?

A client weighs 214 lb. What is the clients weight in kg? (Record answer to the nearest tenth, or one decimal place. Do not use a trailing zero.)

A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?

The nurse is caring for four different clients. Which of these clients should the nurse assess first?

A nurse is providing teaching for an adult client with arthritis who has been instructed to take ibuprofen for discomfort. Which statement by the client indicates a need for further education?

A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

A client who is receiving a final dose of intravenous cephalosporin complains of pain and irritation at the infusion site. The nurse observes signs of redness at the intravenous insertion site and along the vein. What is the nurse's action?