ob2

The nurse checks the last time the medication was given.

The nurse is administering a PRN pain medication to a child. What is the highest priority for the nurse in this situation?

vastus lateralis muscle

The nurse is administering an intramuscular injection of an antibiotic to a 3- month-old infant. Which would be the best site for the nurse to give this medication?

Holding the buttocks tightly together for 1 to 2 minutes after insertion

. The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

Have another staff nurse confirm the calculation.

A nurse has just performed the calculation to check the dosage of amoxicillin/potassium clavulanate prescribed for a child. The calculation indicates that the dosage is within the safe dosage range. Which action is appropriate for the nurse to do next?

A. The LPN monitors the IV site for redness. B. The LPN monitors the IV site for pain. D. The LPN monitors the IV flow rate. F. The LPN monitors the site for swelling

After the RN has initiated intravenous (IV) therapy on the child in the pediatric unit, the newly licensed LPN is caring for the child. Which of the following is the LPN responsible for related to the IV therapy? Select all that apply.

Take him to a separate treatment room to give him his injection. Praise his cooperation even if he cries. Take him back to the playroom. Complete all required documentation.

An order for an intramuscular medication has been ordered for a 4-year-old. The nurse finds the child in the playroom with his caregiver. Which action by the nurse would be the best procedure to follow when administering this medication?

Relief of acute symptoms

In caring for the child with asthma, the nurse recognizes that bronchodilator medications are administered to children with asthma for which reason?

intracellular

In understanding fluid and electrolyte balance, it is important for the nurse to recognize that fluid contained within the body cells is known as:

Dissolve the tablet in a small amount of water sweetened with corn syrup. delivered by a syringe.

The caregivers of a 1-year-old tell the nurse they are frustrated because the medication their child requires daily comes in pill form, which they have been unable to get him to swallow. After clarifying with the pharmacist, what would be appropriate advice for the nurse to give these caregivers to help them make sure the child gets the full dose of medication each day?

Using a nebulizer

The nurse at a camp for children with asthma is teaching these children about the medications they are taking and how to properly take them. The nurse recognizes that many medications used on a daily basis for the treatment of asthma are given by which method?

"The client is left-handed and likes to draw; an IV site in his right arm would be best."

The nurse has been caring for a 12-year-old boy during his 5-day hospitalization. The child's IV has infiltrated, and the care provider is getting ready to change the intravenous line site. Which statement made by the nurse would be appropriate in supporting the child?

dilute the elixir so that the medication is not as hard to swallow.

The nurse is administering an oral medication that comes in an elixir form. When giving the medication, the child begins to choke and sputter. The nurse confers with the pharmacist about alternate ways to give the medication to this child. The pharmacist might recommend that the nurse should:

The nurse encourages the child to develop a chart of times when medications are due.

The nurse is administering oral medications to an 11-year-old child. Which intervention should the nurse implement to encourage the child to be medication adherent?

Pull the pinna down and back

The nurse is administering otic medication to a 22-month-old with a diagnosis of otitis media. Which nursing action ensures that the medication is distributed appropriately?

1,000 mg per dose

The nurse is caring for a child who weighs 31 kg. A medication is ordered for this child with a dosage range of 20 to 40 mg per kg of body weight per dose. Which dosage would be appropriate for the nurse to administer to this child in one dose?

375 mg per dose

The nurse is caring for a child who weighs 75 lb. The medication ordered for the child has a therapeutic dosage range of 33 mg/kg per day to 48 mg/kg per day. The medication ordered is to be given 4 times per day. Which dosages would be appropriate for the nurse to administer to this child in one dose?

Use the scale to locate the child's height and weight. Use a straight edge to align these numbers with the scale indicating the surface area, divide that by the average adult body surface area, and multiply the resulting number by the adult dose.

Using the West nomogram scale, the nurse needs to calculate the safe dosage of a medication for a child. The child is 50 inches tall and weighs 76 lb. The normal dosage of the medication for an adult is 300 mg. Which of the following is the correct way to use the West nomogram scale?

B. to maintain fluid and electrolyte balance C. to have access to the intravenous route for testing E. Medications and nutrients can be infused through the line.

What is a fundamental rationale for the administration of intravenous therapy? Select all that apply.

the client with a pH of 7.55

Which client does the nurse identify as in a state of alkalosis from hyperventilation?

central venous catheter infusions

The nurse is caring for a pediatric client who requires vitamins, minerals, lipids and amino acids through the circulatory system instead of the gastrointestinal tract. Which type of intravenous therapy is anticipated for long-term therapy?

Use the client's height and weight

The nurse is determining a pediatric dosage of medication using the West nomogram for estimating body surface area (BSA). Which two known factors are on the left and the right scales?

trochanter and knee joint

The nurse is preparing an injection of ceftriaxone sodium 500 mg IM for a 9- month-old client. When assessing the best site for injection, which landmarks are determined in preparation for injection?

greater fluid exchange caused by increased metabolic activity

The nurse is preparing an intravenous infusion for a 3-month-old client with dehydration secondary to gastroenteritis. Which condition or scenario puts this infant at greatest risk for a higher volume of fluid loss?

a volume control device

The nurse is preparing an intravenous solution of D5 ¼ NS @ 20 ml/hour for a 6-month-old client. Which safety device will be added to protect against fluid overload?

Giving medications through the intravenous route is less traumatic than multiple injections.

The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?

Follow the facility policy regarding medication errors.

The nurse has administered a medication to a child. When documenting the dosage given, the nurse realizes that an incorrect dose has been administered. The nurse has taken the child's vital signs, and they are within normal range. The child does not appear to be in any distress and is acting normally. Which of the following would be the next action for the nurse to take?

The nurse's behavior is correct. The nurse provided the child a choice between two acceptable options with the outcome of taking the medication.

The nurse has brought a 3-year-old's oral medications into the room for administration. Upon approaching the child, the nurse said, "I have your medication. Would you rather have me hand it to you or Mommy?" In critiquing the nurse's actions, which is most accurate?