The nurse is providing care to a 9-year-old boy admitted with a broken tibia. The child takes Adderall XR 20 mg/day. The physician has prescribed Meperidine 25 mg IM every 4 hr as needed for pain. Which of the following actions by the nurse is best?
A) Give the Meperidine if the child complains of pain.
B) Hold the Meperidine and contact the physician.
C) Notify the charge nurse.
D) Hold the Adderall.

Question

Quizplus · Accepted Answer

Meperidine should not be given to a child taking Adderall due to the risk of interaction leading to serotonin syndrome. The nurse should hold the Meperidine and contact the physician for an alternative pain management plan. Holding the Adderall is not necessary in this situation. Notifying the charge nurse is not necessary as this is a clinical decision that should be made by the nurse caring for the patient.

The Nurse Is Providing Care to a 9-Year-Old Boy Admitted