A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.)
Written information about the medication
The adverse effects of the medication
Stopping the medication when the child feels better
The reason why the child is taking the medication
Using a kitchen spoon to administer the medication
Correct Answer : A,B,D
A. Providing written information about the medication is important for ensuring the parents understand the treatment plan and can reference it later.
B. Discussing the potential adverse effects of the medication prepares the parents for what to monitor in their child and when to seek help.
C. Stopping the medication when the child feels better is incorrect, as it is essential to complete the full course of antibiotics to prevent resistance and recurrence of infection.
D. Explaining the reason why the child is taking the medication helps parents understand its importance and can enhance adherence to the treatment plan.
E. Advising against using a kitchen spoon for administering the medication is important, as it can lead to incorrect dosing; proper dosing devices should be used instead.
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Correct Answer is ["A","B","D","E"]
Explanation
A. Washing hands frequently is important for preventing infections, which can trigger a sickle cell crisis.
B. Cold weather can cause blood vessels to constrict, increasing the risk of a sickle cell crisis, making this statement correct.
C. Restricting fluids during illness is not advisable; staying hydrated is crucial for preventing sickle cell crises.
D. Carrying a water bottle encourages adequate hydration, which is essential for individuals with sickle cell anemia to help prevent crises.
E. Taking medications as directed is vital for managing sickle cell disease and preventing complications.
Correct Answer is B
Explanation
A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.
B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.
C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.
D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.