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Chapter 26. Prescribing Medications in Pediatrics Questions1. A pharmaceutical company has developed a new drug that was tested only on adults. The FDAhas declared this drug to have potential benefits for ill children. According to the Pediatric Research Equity Act (PREA), what may the pharmaceutical company be required to do?A. Conduct pediatric drug studies to determine whether the drug is safe and effective in children.CorrectB. Provide labeling stating that the safety and efficacy of the drug is not established for children.C. Receive a patent extension for conducting pediatric studies to determine use in children.D. Survey existing data about the drug to determine potential use in the pediatric population.2. The primary care pediatric nurse practitioner prescribes a new medication for a child who develops a previously unknown adverse reaction. To report this, the nurse practitioner will3. The primary care pediatric nurse practitioner is considering use of a relatively new drug for a 15monthold child. The drug is metabolized by the liver, so the nurse practitioner will consult a pharmacologist to discuss giving the drug:4. The primary care pediatric nurse practitioner is considering using a drug for an “off label” use in a child. The nurse practitioner has used the drug in a similar situation previously, has consulted a pharmacology resource and the FDA website, and has determined that there are no significant contraindications and warnings for this child. What else must the nurse practitioner dowhen prescribing this drug?.
C. Follow up daily with the parents to determine safe administration of the drug.D. Report this use to the FDA Medwatch website for tracking purposes.5. The primary care pediatric nurse practitioner is counseling an adolescent who was recently hospitalized for an asthma exacerbation and learns that the child usually forgets to use twice daily inhaled corticosteroid medications that are supposed to be given at 0800 and 2000 each day. Which strategy may be useful in this case to improve adherence?A. Ask the adolescent to identify two times each day that may work better. CorrectB. Consider having the school nurse supervise medication administration.C. Prescribing a daily oral corticosteroid medication instead.D. Suggest that the parent enforce the medication regimen each day.