- Force the nebulizer on the adolescent.
- Assess the reason for refusal, educate, involve the adolescent in decision-making, and offer alternatives like a MDI with spacer.
- Tell the parents to make the adolescent comply.
- Ignore the refusal.
Author: ETEA MCQS.COM
No category found.
- Rinse mouth with water after each use.
- Administer the inhaled corticosteroid before meals.
- Use a spacer only if absolutely necessary.
- Discontinue the medication if any side effects occur.
- Intussusception.
- Pyloric stenosis.
- Appendicitis.
- Gastroenteritis.
- Confronting the parents about the abuse.
- Documenting all observations objectively, ensuring child safety, and fulfilling mandatory reporting requirements.
- Discharging the child to parental care.
- Discussing findings with neighbors.
- The medication will work immediately.
- It may take several weeks for the full therapeutic effect, and monitoring for worsened suicidal ideation (especially initially) is crucial.
- There are no side effects.
- Stop the medication if symptoms don't improve in a few days.
- No specific precautions are needed.
- Implementing droplet precautions immediately.
- Implementing contact precautions only.
- Implementing airborne precautions.
- Administering potassium supplements.
- Administering a potassium-binding resin (e.g., Kayexalate) or preparing for IV interventions like insulin/glucose.
- Encouraging high-potassium foods.
- Limiting fluid intake.
- Forcing the child to comply.
- Providing a structured, predictable environment, using visual aids, and minimizing sensory overload.
- Speaking loudly to get attention.
- Limiting parental presence.
- The child is being uncooperative.
- The child's agitation and restlessness may indicate worsening hypoxemia.
- The child needs a sedative.
- The child is tired.
- Mild dehydration.
- Hypovolemic shock, requiring immediate fluid resuscitation.
- Overhydration.
- Normal circulatory status.
- Monitoring for constipation.
- Monitoring for signs of dehydration, electrolyte imbalances (especially hypokalemia), and daily weights.
- Assessing for increased appetite.
- Checking for skin rashes.
- Oral acetaminophen.
- Intravenous (IV) opioid analgesics.
- Topical anesthetics.
- Ice packs.
- Limiting fluid intake.
- Implementing a clean intermittent catheterization (CIC) program.
- Administering daily antibiotics.
- Encouraging infrequent voiding.
- Using adult dosages.
- Relying on weight-based dosing, considering immature organ function (liver/kidneys), and using appropriate formulations.
- Administering all medications rectally.
- Giving all medications with food.
- Administering more insulin.
- Administering a rapid-acting carbohydrate (e.g., fruit juice, glucose tablets) and retesting blood glucose in 15 minutes.
- Encouraging strenuous exercise.
- Delaying mealtime.
- Constipation.
- Perforation of the appendix and peritonitis, requiring urgent surgical intervention.
- Gastroenteritis.
- Urinary tract infection.
- Attempting to visualize the throat.
- Maintaining a patent airway, avoiding any procedures that could cause laryngospasm (e.g., throat examination), and preparing for emergent intubation.
- Offering oral fluids.
- Administering oral antibiotics.
- Digoxin.
- Furosemide (a loop diuretic).
- Insulin.
- Acetaminophen.
- Encouraging prolonged bed rest.
- Implementing a progressive exercise program and providing assistive devices to maintain mobility and prevent contractures.
- Limiting fluid intake.
- Avoiding physical therapy.
