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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

A sedative to be given one-and-a-half to two hours before surgery and an analgesic-atropine mixture given just before the child leaves for the operating room.

A sedative and an analgesic-atropine mixture to be given just before the child goes to sleep the night before the surgery.

A sedative to be given three to four hours before surgery and an analgesic-atropine mixture given one to two hours before the child leaves for the operating room.

A sedative and an analgesic-atropine mixture to be sent to the operating room with the child.

Answer and Explanation

The Correct Answer is A

Choice A reason: A sedative 1.5-2 hours pre-surgery reduces anxiety, and an analgesic-atropine mixture just before leaving minimizes pain and secretions. This timing aligns with pediatric preoperative protocols, making it the correct anticipation for administering medications to prepare the child for surgery effectively.

Choice B reason: Giving medications the night before surgery is too early for preoperative effects like sedation or secretion control. The correct timing is closer to surgery, making this incorrect, as it does not align with standard preoperative medication administration for a child undergoing surgery.

Choice C reason: A sedative 3-4 hours before surgery is too early, reducing effectiveness, and the analgesic-atropine timing is suboptimal. The 1.5-2-hour sedative window is standard, making this incorrect compared to the precise timing needed for preoperative medications in pediatric surgical care.

Choice D reason: Sending medications to the operating room delays administration, risking inadequate preoperative sedation or secretion control. Administering at specific pre-surgery intervals is standard, making this incorrect compared to the timed delivery of sedative and analgesic-atropine for the child’s surgical preparation.

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Correct Answer is C

Explanation

Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.

Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.

Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.

Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.

A. Have the caregiver sign a permission form acknowledging that the girl has been given the drug without pregnancy testing. B. Speak with the teen alone to ask her if she is sexually active. If she says she is not sexually active, let the provider know that it is okay to write the prescription. C. Acknowledge the caregiver’s discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication. D. Arrange for the daughter to have the pregnancy testing without the caregiver’s knowledge.

Correct Answer is C

Explanation

Choice A reason: Signing a form to bypass pregnancy testing violates isotretinoin safety protocols, risking fetal harm due to teratogenicity. Encouraging testing ensures compliance, making this unsafe and incorrect compared to addressing the caregiver’s concerns while prioritizing the teen’s safety for acne treatment.

Choice B reason: Speaking to the teen alone respects privacy but doesn’t address the caregiver’s refusal or ensure testing compliance, required for isotretinoin. Encouraging testing with the caregiver’s consent is safer, making this inadequate and incorrect compared to securing agreement for mandatory pregnancy testing.

Choice C reason: Acknowledging the caregiver’s discomfort builds trust while emphasizing the necessity of pregnancy testing for isotretinoin’s safe use, preventing fetal harm. This aligns with pediatric medication safety protocols, making it the best action to ensure the 16-year-old can safely receive acne treatment.

Choice D reason: Testing without caregiver knowledge violates consent and trust, risking legal and ethical issues. Encouraging open discussion ensures compliance, making this unethical and incorrect compared to the nurse’s role in facilitating agreement for required pregnancy testing for the teen’s isotretinoin therapy.

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The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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