Chapter 35 PrepU Questions
Warmed to room temperature and dropped into the ear
If a medication is being administered by the otic route, it will be administered in which way?
Regularly monitoring the child's blood glucose
Included in the nursing care plan for the child receiving total parenteral nutrition (TPN) will be which intervention?
read the child's armband.
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:
The mother does not check gastric residual prior to feedings.
A preschool-age child who is receiving gastrostomy feedings occasionally vomits following a feeding. When the parent describes the feeding process, what does the nurse note as the likely cause of the vomiting?
Discontinue the IV infusion.
A child is receiving intravenous fluids for dehydration. The nurse notes coarse breath sounds and increased pulse and blood pressure. What does the nurse do first?
200 mL
A child with HIV, weighing 25 kg (55.1 lbs), is about to receive an infusion of IVIG. The recommended dose is 400 mg/kg/dose. The medication is available in a concentration of 50 mg/mL. What is the proper amount of infusion that the child will receive?
Request an intravenous form of the medication.
A child with gastroenteritis has been unable to keep oral medication down. What nursing intervention would be appropriate for this client?
"The muscle in his butt is not well enough developed to receive this injection until he has walked for 1 year."
A father believes his 2-year-old son is frightened by seeing an intramuscular (IM) medication injected into his thigh and requests that the child's "butt" be used. What will be the nurse's response?
"He needs to take his medicine or he will lose a privilege."
A nurse is educating the parents how to administer daily oral medication to their 5-year-old boy. Which response indicates a need for further teaching?
168
A nurse is providing care for a child diagnosed with beta-thalassemia. The child requires a blood transfusion of packed red blood cells (PRBCs). The health care provider has prescribed a transfusion volume of 10 ml/kg. The child weighs 37 lb (16.8 kg). How many milliliters should the nurse infuse?
placing the syrup in an medicine syringe.
A parent must administer a medication in syrup form to a 2-month-old infant. The nurse suggests:
Measure the child's height and weight, and check whether the dose is correct for the child.
As the nurse prepares to administer a medication to a preschooler, the nurse realizes that the child is extremely underweight for age. What action would the nurse take?
"I will pull the outer ear down and back before administering the medication."
The nurse is teaching parents of a 12-year-old child how to administer otic medication. Which statement by the parent indicates a need for further education?
ask if the child would like to take the medicine in a cup or through an oral syringe
The nurse is working to gain a preschooler's cooperation to swallow an oral medication. What would be the nurse's best approach?
Absorption
The mother of a 9-year-old girl calls the physician's office complaining that her daughter continues to vomit soon after being given an oral amoxicillin capsule for her strep throat. The nurse recognizes that the child's vomiting will interfere with which pharmacokinetic process?
had two whole tablets to administer to the child.
The new graduate nurse is preparing to administer medication to a 4-year-old client. When would it be appropriate for the supervising nurse to intervene? The new graduate:
"A gastrostomy tube is a tube passed into the stomach through the nose or mouth."
The nurse demonstrates appropriate knowledge when making what statement related to gavage feedings of a child?
Inform the child that it is time for an injection. Explain why the injection is needed and have the child move to the treatment room.
The nurse has prepared an IM injection to give a 13-year-old child. After some searching, the nurse locates the child in the playroom in front of a video game. Which action is best for the nurse to take?
Let the child hold the medication cup.
The nurse is administering an oral liquid medication to a 5-year-old child. What would be the mostappropriate for the nurse to do when administering this medication?
Verify the medication order.
The nurse is preparing to administer a medication via a syringe pump as ordered for a 2-month-old girl. Which is the priority nursing action?
Provide oxygen as needed to maintain oxygen saturation above 93%.
A pediatric client is having difficulty breathing. Which nursing intervention is appropriate for this client?
587 milligrams
The nurse is caring for a 12-year-old post-appendectomy client who weighs 86 pounds. The child has a temperature of 38.5ºC (101.3ºF). The nurse prepares to give the client a dose of oral acetaminophen. The order reads "Tylenol 15mg/kg/dose every 4 to 6 hours PO PRN for fever or pain." How many milligrams of Tylenol should the nurse give the client?
Give the medication with a syringe and direct the liquid toward the posterior side of the mouth while holding the infant upright.
The nurse is giving discharge instructions to a parent of a 3-month-old infant. What is the bestinformation to give the parent concerning oral medication administration?
Verify the dose with the prescribing health care provider.
The nurse is preparing to administer an IV antibiotic to a child. After calculating the recommended dose with the child's weight, the nurse discovers the prescribed dose exceeds the safe dose range in a pediatric drug book. The medication has been given to the child at this dose for 3 days. What action should the nurse take next?
Position the infant upright, offer the infant a bottle of formula, remove the bottle and squirt the medication on the side of the tongue toward the cheek, then offer the infant the bottle again.
The nurse is preparing to give a 4-month-old an oral medication. Which technique demonstrates the nurse's accurate knowledge of the infant's developmental level?
The oral medication should be directed toward the side of the mouth when using a syringe or dropper.
When administering medications to an infant, what information will the nurse consider?
Ensuring the child's safety
When performing a procedure on a child in the health care setting, what should the priority intervention by the nurse be?
