Hatfield: Introductory Maternity and Pediatric Nursing #31
1. The nursing student identifies which technique as the correct one to use when giving oral
... [Show More] medications to an infant?
- Use a dropper and slowly inject the liquid into the side of the infant's mouth.
2. A nurse is administering ear drops to a 7-year-old girl. What should the nurse do?
- Pull the pinna of the ear up and back to straighten the external ear canal.
3. A mother of a newborn brings her child to the well child clinic the week after birth. The mother asks the nurse if the child will get any "shots" at the next appointment. The best response from the nurse would be:
- "Yes, your child will get 3 shots next time. They will be the polio vaccine (called IPV), Haemophilus influenza B vaccine (called Hib), and hepatitis B vaccine. They will be given in the thigh."
4. The nurse is administering medications to a 10-year-old child who takes medications at home for a chronic condition. The child's parent is at the bedside. What are appropriate guidelines for medication administration to this client? Select all that apply. –
1. The nurse compares the child's ID band with the medication record.
2. The nurse carefully reads the label on the side of the medication bottle.
3. The nurse documents the medication administration after giving the medication.
5. A 4-year-old child is admitted to the hospital for surgery. Before the nurse administers medicine, the best way to identify the child would be to:
- Reread the armband
6. The nurse is preparing to administer regular insulin to a child following lunch. Which finding will cause the nurse to question administering the medication?
- The client received insulin aspart 2 hours ago.
7. Parents question the necessity of moving their preschooler from her room to another place to insert her IV line. The nurse explains:
- The importance of avoiding unpleasant experiences in the child's room and bed in order for both to remain safe places.
8. The nurse is teaching a parent how to administer medications to her young child. Which instructions are appropriate? Select all that apply. –
1. Gently restrain the child's head and arms.
2. Have the parent administer the medication.
3.Hold the child against the body with the head raised.
9. An infant is to have a scalp-vein intravenous infusion begun. What is an advantage of this insertion site?
- The scalp veins are easily visualized.
10. The nurse is caring for an 8-year-old girl who requires medication that is only available in an enteric tablet form. The nurse is teaching the mother how to help the girl swallow the medication. Which statement indicates a need for further teaching?
- "I can pinch her nose to make it easier to swallow."
11. Samuel, a 1-month-old baby, is severely ill and has been prescribed an injection as part of his drug therapy. What is the preferred injection site?
- The vastus lateralis muscle...the largest muscle mass in the groups
12. A toddler requires 1.5 mL (.05 oz) of an antibiotic given intramuscularly (IM). How will the nurse administer this medication?
- Divide the dose. Administer 0.75 mL (0.25 oz) IM in each vastus lateralis.
13. The clinical nurse educator who oversees the emergency department in a children's hospital has launched an awareness program aimed at reducing drug errors. What measure addresses the most common cause of incorrect doses in the care of infants and children?
- Having nurses check their math calculations with a colleague before administering a drug
14. A 12-month-old child weighing 11 lb has an order for gentamycin sulfate 13 mg IM q 36 hour. The pharmacy has 20 mg/2 mL on hand. How may milliliters would the infant receive, and what is the best site for the injection?
- 1.3 mL; vastus lateralis...For IM injections in infants, the mandatory site for administration is the vastus lateralis muscle of the anterior thigh
15. The nurse enters the room to give a subcutaneous injection of insulin to a 6-year-old female who is diabetic. What is the best method of medication administration?
- Ask her where she would like to have the nurse give the injection.
16. The nurse is working to gain a preschooler's cooperation to swallow an oral medication. What would be the nurse's best approach?
- ask if the child would like to take the medicine in a cup or through an oral syringe [Show Less]