Chapter 5-drug therapy pediatric

Question 1

what is true about pediatric clients

Answer 1

drug penetration through infant skin is more rapid than in older children

Question 2

history of maternal drug use is most closely related to a neonates ability to

Answer 2

metabolize drugs in the liver

Question 3

pediatric drug dosages are best based on

Answer 3

weight

Question 4

administration of bitter medication what should you do

Answer 4

put ice in the mouth a few minutes before taking med

it may decrease taste sensation

Question 5

what should you do when oral administration of medication to a 2month

Answer 5

administer before meals

Question 6

ear drops to children under 3

Answer 6

pull the pinna back and down this opens the ear canal

Question 7

intramuscular injection for an infant

Answer 7

vastus lateralis

Question 8

the use of Ipecas in the event of accidental poisoning of a child

Answer 8

both poison control and american academy of pediatrics do not endorse the use of ipecec syrup

Question 9

when comparing the plasma protein binding ability of a pediatric client to an adult the nurse understands this process occures in children to

Answer 9

a lesser degree due to the reduced production of protein in children

Question 10

the CNS of a child does not fully mature until

Answer 10

8 months of age

Question 11

administration of a rectal suppository to a 2 year old child

Answer 11

uses his or her little finger to administer medication

Question 12

administration of liquid medication to 9 year old child

Answer 12

allow the child to choose between a syringe with out needle or medicine cup

Question 13

a young child is to receive an IV antibiotic packaged in 50ml of 5% dextrose and water over 30 minutes what should be done

Answer 13

use volumetric IV pump for administration

Question 14

which age can parenteral medication be permitted to handle a syringe with out needle

Answer 14

2.5 to 3.5 years of age

Question 15

when choosing a site for an IM injection in a young child the nurse understands that the deltoid site is rarely used because

Answer 15

this muscle is not fully developed until adolesence

Question 16

the proper needle length for subcutaneous injection in infants and thin children

Answer 16

3/8 to 1/2 inch

Question 17

when preparing to give 3 yr old the first dose of a prescribed antibiotic what is best response by nurse

Answer 17

telling the children that medicine is candy is dangerous practice.

Question 18

a 6 month old is going home from the hospital from pneumonia which statement indicates mother needs more training

Answer 18

I can put the medication in the formula to help ensure my baby takes it

Question 19

preparing to administer oral to an 11 month old infant who drinks formula from a cup which method should nurse use to give medication

Answer 19

medicine cup

Question 20

which route of medication administration demonstrates the least variability in drug response for pediatric clients of different ages

Answer 20

intravenous

Question 21

administration of an injection to a child at the dorsogluteal site the nurse positions the child

Answer 21

on the abdomen with the toes pointing inward

this position promotes relaxation of the muscles int he buttocks

Question 22

the method of choice for administration of parenteral analgesic to children is

Answer 22

IV push because it provides rapid response by administering it into the port closest to the child

Question 23

the use of herbal therapy for children

Answer 23

parents should not assume that “natural” means safe

Question 24

an unconscious child is broght into the ED as a victim of accidental poisoning what should the nurse plan to do

Answer 24

administer activated charcoal via nasogastric or orogastric tube

Question 25

preparing to administer IM injection to a child

the first action is

Answer 25

apply a topical local anesthetic to the site 1-2 hours before

Question 26

what is the best way for the nurse to evaluate the patients ability to administer medication

Answer 26

have the patient demonstrate the procedures to the nurse after the nurse has explained and demonstrated

Question 27

the nurse is preparing to start an IV on a child for at least 4 days of IV therapy the nurse would most likely choose what for the infusion

Answer 27

a catheter

Question 28

a child is prescribed to receive an IV antibiotic that is packaged in 100ml of IV fluids to infuse in 1 hour. the nurse programs the volumetric infusion pump for what reate

Answer 28

100ml/hr

Question 29

a child who weighs 44 pounds is prescribed an IV medication with a recommend dosage of 7.5 mg/kg/24 hours in 3 divided doses. what is the safe individual dose this child can receive

Answer 29

50 mg

Question 30

when obtaining baseline data on a child it is important for the nurse to do what

Answer 30

secure the childs medication history from a caregiver, determine the experience the child has had with taking medications, and obtain a personal and family history of allergy

Question 31

the nurse is preparing an IV setup for a pediatric client and decides to use a volumetric infusion pump the decision is based on what

Answer 31

maintains constant intravascular pressure within the IV access, maintains the patency for the vascular access and provides accurate flow rates

Question 32

when preparing to initiate a venipuncture for IV fluid and medication administration the nurse considers what

Answer 32

select a site that does not severely limit the child’s activity, select a site on the non-dominate side and select the smallest gauge possible that will allow administration of IV fluids