A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

Do not take the medication longer than a week.

Liver enzymes should be checked before starting.

An increased risk of suicide is associated with this medication.

Consult the prescriber for any dose adjustments.

Do not take with anti-anxiety medications.

Answer and Explanation

Correct Answer : B,C,D,E

A. Anticonvulsants for chronic pain management are typically taken long-term and not limited to one week.

B. Many anticonvulsants are metabolized in the liver, so baseline liver function tests are necessary before starting therapy.

C. Anticonvulsants have been associated with an increased risk of suicidal ideation, and families should be advised to monitor for mood changes.

D. Any dose adjustments should be made under the supervision of the prescriber to prevent adverse effects.

E. Anticonvulsants can have sedative effects and should not be taken with anti-anxiety medications without medical supervision, as this can increase the risk of CNS depression.

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Correct Answer is D

Explanation

A. Epstein-Barr virus (EBV) is not associated with cleft lip formation.

B. Cleft lip is not caused by an autoimmune response.

C. Advanced maternal age is associated with other congenital anomalies but not specifically with cleft lip.

D. Cleft lip and palate often have a genetic component and can be influenced by environmental factors during early pregnancy.

A. Administer albuterol prior to CPT B. Perform CPT immediately after the child eats. C. Perform vibration during the client's inspirations. D. Percuss each lung segment for 15 min

Correct Answer is A

Explanation

A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.

B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.

C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.

D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.

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A nurse is creating a plan of care for a child who is 8 years of age and has a prescription for anticonvulsant medication to take for the management of chronic pain. Which of the following recommendations should the nurse plan to make? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 20 weeks of gestation and asks what could cause the infant to have a cleft lip. Which of the following responses should the nurse give?

Correct Answer is D

Explanation

A nurse is planning care for a child who has cystic fibrosis and a prescription to receive chest physiotherapy (CPT). Which of the following actions should the nurse plan to take?

Correct Answer is A

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