When administering medications to infants, it is essential to remember which of the following? (Select all that apply.)

Oral medications are contraindicated in infants.

Breastfeeding infants are more likely to develop toxicity when given lipid-soluble drugs.

Immaturity of renal function in infancy causes infants to excrete drugs less efficiently.

Infants are more sensitive to medications that act on the central nervous system.

Infants have immature livers, which slow drug metabolism.

Answer and Explanation

Correct Answer : C,D,E

a) This is false because oral medications can be given to infants if they are in liquid form, have a suitable dose, and are administered with a dropper or syringe. However, oral medications should be given with caution and only when prescribed by a doctor.

b) This is false because lipid-soluble drugs are not easily passed into breast milk and do not affect breastfeeding infants. However, some drugs can be harmful to breastfeeding infants and should be avoided or used with caution by nursing mothers.

c) Immaturity of renal function in infancy affects drug excretion, potentially leading to prolonged drug effects and increased risk of toxicity.

d) Infants are more sensitive to medications that act on the central nervous system, and dose adjustments may be needed to prevent adverse effects.

e) Immature liver function in infants can slow down drug metabolism and elimination, leading to a higher risk of drug accumulation and toxicity.

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Correct Answer is B

Explanation

a) Tetracycline should not be taken with calcium supplements as calcium can interfere with its absorption, but this is not related to tooth discoloration.

b) Tetracycline can cause yellow or brown discoloration of teeth in children with developing permanent teeth. It is generally contraindicated in children under 8 years of age.

c) Lactose intolerance is not directly related to the risk of tooth discoloration with tetracycline.

d) Tetracycline is generally contraindicated in pregnant clients, especially after the fourth month of gestation, due to potential effects on fetal bone and tooth development.

A. "Oral acyclovir may be used during pregnancy." B. "Intravenous antiviral agents will be used if an outbreak occurs." C. "Topical acyclovir must be used to control outbreaks." D. "Antiviral medications are not safe during pregnancy."

Correct Answer is A

Explanation

a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.

b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.

c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.

d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.

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When administering medications to infants, it is essential to remember which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To prevent yellow or brown discoloration of teeth, tetracycline use should be avoided in which of the following clients?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

Which variables can help determine the client's response to a drug? (Select all that apply.)

The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?

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 client is starting to take furosemide and asks the nurse. "When is the best time to take this medication?" What is the nurse's response?

Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

A client who has erectile dysfunction asks a nurse whether sildenafil would be a suitable medication. Which aspect of this client's history would be of most concern?

The nurse is educating a client regarding the use of omeprazole. What statement by the client shows a proper understanding of how to take this medication?