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NSG 6435 Burns Pediatric Primary Care, Prescribing Medications in Pediatrics Questions and Answers with Explanations Download to Score A

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NSG 6435 Burns Pediatric Primary Care, Prescribing Medications in Pediatrics Questions and Answers with Explanations Download to Score A 1. The single mother of a 4-year-old who attends day care tell... s the primary care pediatric nurse practitioner that she had difficulty giving her child a twice-daily amoxicillin for 10 days to treat otitis media during a previous episode several months earlier because she works two jobs and is too busy. The child has an ear infection in the clinic today. What will the nurse practitioner do? a. Administer an intramuscular antibiotic. b. Order twice-daily amoxicillin for 5 days. c. Prescribe azithromycin once daily for 5 days. d. Reinforce the need to adhere to the plan of care. ANS: C To improve adherence, the PNP should shorten the length of treatment, if possible and, if possible, reduce the number of times per day that a medication is given. This mother indicated that she had difficulty giving two doses per day, so a once daily for 5 days medication is ideal. It is not necessary to give an IM injection unless the child refuses to take the medication. Reinforcing the need to adhere to the plan is important but does not address the underlying difficulty associated with scheduling. 2. The primary care pediatric nurse practitioner is considering use of a relatively new drug for a 15- month-old child. The drug is metabolized by the liver, so the nurse practitioner will consult a pharmacologist to discuss giving the drug: a. less often or at a lower dose [Show More]

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