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 B

Explanation

A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.

B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.

C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.

D. Keeping a log may be helpful, but it is not sufficient as a primary action.

A. Ask the child to find numbers on Ishihara plats B. Instruct the child to track items in the room. C. Ask the child to identify items in a book. D. Instruct the child to identify letters on a Snellen eye chart

Correct Answer is D

Explanation

A. Ishihara plates test for color blindness, not visual acuity.

B. Tracking items assesses eye movement, not visual acuity.

C. Identifying items in a book evaluates near vision but not distance vision, which is the reported problem.

D. The Snellen eye chart is used to assess distance visual acuity, which is appropriate for the child's complaint.

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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 planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

Correct Answer is B

Explanation

A nurse is assessing a school-age child who reports difficulty seeing the chalk board in the front of the classroom. Which of the following tests should the nurse perform?

Correct Answer is D

Explanation

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.)

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