Ch 7 Nclex Flashcards
- An 8-month-old patient is discharged from the hospital with a plan of care to receive IM injections each day. The parents have been taught how to administer IM injections. Which statement by the parents indicates a need for further teaching?
a. “I should administer the injection in the upper, outer quadrant of her buttocks.”
b. “IM injections are safe for infants and children if administered correctly.”
c. “When I give my daughter this injection, the safest place for insertion is the thigh.”
d. “I need someone to assist me and hold my daughter while I give the injection.”
a.“I should administer the injection in the upper, outer quadrant of her buttocks.”
- A 4-year-old patient is discharged on an oral liquid drug suspension of 4 mL per dose. Which device will the nurse recommend to ensure the highest level of accuracy in home administration of the medication?
a. Measuring spoon
b. Graduated medicine cup
c. Household teaspoon
d. Oral syringe
d.Oral syringe
3.A child is ordered to receive naloxone (Narcan) IV, STAT. The child’s weight is 20 kg. The recommended child’s dosage is 0.01 mg/kg. Naloxone is available in a 400 mcg/mL solution. How much medication will the nurse plan to administer?
0.5 mL
4.A child is ordered to receive 3 mg/kg of medication. The child weighs 88 pounds. The medication is available in a 15 mg/mL elixir. How much medication will the patient receive?
8 mL
- The nurse understands the differences between drug excretion in children and that in adults. With this knowledge, what does the nurse consider when administering medications to children?
a. Most children need a higher dose of medication, so the nurse will contact the physician for an increase in the ordered dose.
b. Children excrete drugs rapidly, so the nurse must assess carefully for therapeutic effects of the medication.
c. The most important assessment is to evaluate for drug accumulation, because the excretion of drugs in children is slower.
d. Excretion of most drugs is the same in children as in adults, but assessments are important to avoid side effects.
c.The most important assessment is to evaluate for drug accumulation, because the excretion of drugs in children is slower.
- A parent is learning to administer medication to a school-age child. Which strategy will the nurse teach the parent to achieve cooperation in a child of this age?
a. Enlisting physical restraint
b. Establishing medication contracts
c. Providing age-appropriate explanations
d. Tolerating violent reactions
c.Providing age-appropriate explanations
- The nurse is caring for a neonate with lower-than-normal albumin levels. The nurse is ordered to administer a medication that is highly protein bound. The nurse knows that what must occur in response to these factors?
a. The dose must be doubled to compensate for low
b. The dose must be decreased because of increased unbound, active medication.
c. Highly protein-bound drugs must be contraindicated.
d. The nurse must further clarify the medication order before administration
b.The dose must be decreased because of increased unbound, active medication.
- A nurse caring for a child with developmental delay prepares to teach the patient about prescribed medications. Which actions are essential in ensuring patient safety? (Select all that apply.)
a. Assess the child’s developmental age.
b. Assess for side effects the same as those experienced by adults.
c. Consider the actions and uses of the medication.
d. Focus on the child’s chronological age.
e. Involve the family in teaching sessions.
a. Assess the child’s developmental age.
c. Consider the actions and uses of the medication.
e. Involve the family in teaching sessions.
- A 2-year-old patient is to receive a topical medication. The nurse considers which factor when administering this medication?
a. Children’s skin is less vascular, slowing absorption.
b. Decreased hair follicles enhance absorption.
c. Medications are absorbed slower due to less BSA than adults.
d. Thinner skin in children allows for rapid absorption.
d.Thinner skin in children allows for rapid absorption.
