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Please provide rationale for choice:   You are caring for an…

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Asked by Kathybarbay

Please provide rationale for choice:

 

You are caring for an eighth-grade boy who has fallen below the normal growth curve. He has been seen by the pediatric endocrinologist for a workup. A definitive diagnosis of constitutional growth delay has not yet been assigned. He is brought in today by his mother with a history of a tick bite while on a boy scout camp out. Mom noticed the erythema migrans lesion and brings her son in for an antibiotic to prevent development of the chronic form of Lyme disease. Which of the following antibiotics should be avoided in the treatment for this patient? 

Doxycycline 

Amoxicillin

Bactrim

Augmentin

 

Mr. H. comes in with a complaint of exacerbation of his BPH symptoms. During your health assessment you discover that he has been treating himself for his ‘summer cold’ with over-the-counter medications. Understanding the mechanism of action of drugs used to treat nasal allergy symptoms which of the following would do you advise Mr. H. to take?

Claritin D

Mucinex

Benadryl

Claritin

 

You are seeing a 9-year-old child with a complaint of left ear pain off and on since last week. Your assessment reveals the left tympanic membrane that is ‘raging red’ and bulging. Current guidelines direct a dose of Amoxicillin of 90mg/kg/day. The child weighs 60kg and your calculations reveal the daily dose to 5400mg/day. The maximum adult daily dose is for amoxicillin is 4000mg/day. As the advanced practice nurse working with this child which of the following actions do you identify to be the most appropriate?

 

Choose a different antibiotic since the calculated dose exceeds the max adult dose

Dose 5400 mg divided into 3 doses daily of 1,800mg each

Have the mother bring the child back in for a re-assessment in 3 days

Dose 4000mg divided into 2 doses daily of 2,000 mg each

SCIENCE
HEALTH SCIENCE
NURSING
NURSING MS NU 636

 
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