A patient is taking a first-generation H1 blocker for the treatment of allergic rhinitis. It is most important for the nurse to assess for which adverse effect?

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Dry mouth. First-generation H1 blockers, such as antihistamines like diphenhydramine, commonly cause dry mouth as an adverse effect due to their anticholinergic properties. This adverse effect occurs because these medications inhibit the action of acetylcholine, leading to decreased salivary gland secretions. A) Skin flushing is not typically associated with first-generation H1 blockers; instead, it can be seen with niacin or some vasodilators. B) Wheezing is not a common adverse effect of first-generation H1 blockers; it may be a sign of bronchoconstriction in asthma or allergic reactions. C) Insomnia is more commonly associated with decongestants or medications containing pseudoephedrine due to their stimulant effects on the central nervous system. Educationally, it is crucial for nurses to understand the common adverse effects of medications to provide safe and effective care to pediatric patients. By recognizing and assessing for potential adverse effects like dry mouth, nurses can promptly intervene, educate patients and families, and collaborate with healthcare providers to ensure optimal medication management.

Correct Answer: C

Rationale: The correct answer is C) Gardasil is recommended for males and females. This statement is true because the human papillomavirus (HPV) vaccine, specifically Gardasil, is recommended for both males and females to protect against various strains of HPV that can lead to genital warts and certain types of cancers, including cervical cancer. Option A is incorrect because Gardasil is actually administered in a three-dose series, not a two-dose series. Option B is incorrect because Gardasil does not provide protection against chlamydia; it specifically targets HPV. Option D is incorrect because Gardasil does not become fully effective after the first dose; the full series of doses is needed to provide optimal protection. In the context of pediatric nursing, it is crucial to understand the importance of HPV vaccination in both male and female patients. Educating parents and caregivers about the benefits of HPV vaccination can help prevent HPV-related diseases later in life. Emphasizing the need for completing the full series of doses is also vital to ensure maximum effectiveness of the vaccine.

Correct Answer: C

Rationale: Activity observation and analysis support pediatric occupational therapy intervention by synthesizing information obtained through observation to identify alternative methods of performing activities. This process assists in intervention planning by exploring different approaches to help children achieve their occupational therapy goals effectively.

Correct Answer: A

Rationale: In the context of assessing the motor development of a 2-month-old infant in a high-risk clinic, the most appropriate standardized test would be the Peabody Developmental Motor Scale (PDMS-2) for several reasons. The PDMS-2 is specifically designed to assess the motor skills of infants and young children, making it developmentally appropriate for this age group. It includes items that are relevant to the motor milestones expected at 2 months of age, such as head control and early limb movements. The Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) is more suited for older children and may not capture the specific nuances of motor development in infants. The Pediatric Evaluation of Disability Index (PEDI) is focused on assessing functional abilities in children with disabilities, which may not be relevant for a typically developing 2-month-old. The School Assessment of Motor and Process Skills (School-AMPS) is designed for school-aged children and evaluates functional motor skills in a classroom setting, making it inappropriate for assessing an infant's motor development. Educationally, understanding the appropriate assessment tools for different age groups is crucial for pediatric nurses to accurately evaluate and monitor child development. Using the right assessment tool ensures that interventions and support are tailored to the child's specific needs, promoting optimal growth and development.

Correct Answer: C

Rationale: When using clinical guidelines to inform practice with children and youth, it is crucial for occupational therapists to not solely rely on the most recent guidelines but to consider the individual needs and contexts of each client. Selecting guidelines based solely on recency without considering the specific client can lead to ineffective or inappropriate interventions.