A child is admitted with a prescription for an antibiotic. The parent reports that the child developed a rash after penicillin, although the admission form says “no known allergies.” What should the nurse do first?
Correct answer: B. Withhold the dose and clarify and document the allergy
- A. Administer the antibiotic and observe the child closely
- B. Withhold the dose and clarify and document the allergy
- C. Ask the parent to choose a different antibiotic
- D. Give an antihistamine before administering the antibiotic
Explanation
The nurse must clarify and document the reported allergy before giving the medicine. Administering the dose first could cause a preventable allergic reaction, and an alternative antibiotic can be selected only by the prescriber.
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About Care of the Hospitalised Child
Care of the hospitalised child covers admission assessment, monitoring vital signs, medication safety, pain relief, nutrition, hygiene, infection prevention and safe discharge planning. It also addresses atraumatic care, therapeutic play, communication with children and parents, family participation, separation anxiety, safeguarding and the child’s rights during hospital care.
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