A 4-year-old child diagnosed with otitis media continues to experience persistent ear pain after being treated with an antibiotic for 24 hours. The nurse practitioner should:
change the antibiotic.
increase the dose and frequency of acetaminophen (Tylenol) administration.
alternate ibuprofen (Advil) with acetaminophen (Tylenol) for pain.
re-evaluate the child after completing 48-72 hours of antibiotic therapy.
The Correct Answer is D
Rationale:
A. Changing the antibiotic after only 24 hours is premature; many antibiotics require 48–72 hours to show clinical improvement.
B. Increasing acetaminophen dosage without medical guidance may risk overdose and does not address the underlying infection.
C. Alternating ibuprofen with acetaminophen can help with pain, but it does not replace the need to assess antibiotic effectiveness.
D. Re-evaluating the child after 48–72 hours allows time for the antibiotic to work and ensures appropriate management if symptoms persist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Persistent worry about future events is more characteristic of generalized anxiety disorder rather than depression.
B. Unrealistic worry about harm to family is also suggestive of anxiety disorders in children.
C. Loss of pleasure in almost all activities (anhedonia) is a core symptom of depression in children and adolescents, alongside other signs such as sleep disturbances, poor school performance, and decreased concentration.
D. Hyperventilation is typically a physical manifestation of anxiety or panic attacks, not depression.
Correct Answer is C
Explanation
Rationale:
A. Acetaminophen with codeine is generally not recommended in children for migraines due to risks of respiratory depression, dependence, and variable metabolism.
B. Tricyclic antidepressants may be used as preventive therapy for frequent or severe migraines but are not first-line for acute relief.
C. Sumatriptan (Imitrex) is a selective serotonin receptor agonist used for acute migraine attacks in children and adolescents. It can provide effective relief when NSAIDs and lifestyle modifications fail.
D. Chloral hydrate is a sedative-hypnotic and is not indicated for treating migraines.
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