CHAPTER 6 REVIEW QUESTIONS

Question 1

1. 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 drug?
   a. Measuring spoon
   b. Graduated medicine cup c. Household teaspoon
   d. Oral syringe

Answer 1

d. Oral syringe

Question 2

2. The nurse understands the differences between drug excretion in children and that in adults. With this knowledge, what does the nurse consider when administering drugs to children?
   a. Most children need a higher dose of drug, 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 drug.
   c. The most important assessment is to evaluate for drug accumulation, because the excretion of drugs is slower in children.
   d. Excretion of most drugs is the same in children as in adults, but assessments are important to avoid side effects.

Answer 2

c. The most important assessment is to evaluate for drug accumulation, because the excretion of drugs is slower in children.

Question 3

3. A parent is learning to administer drug 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 drug contracts
   c. Providing age-appropriate explanations
   d. Tolerating violent reactions

Answer 3

c. Providing age-appropriate explanations

Question 4

4. A nurse caring for a child with developmental delay prepares to teach the patient about prescribed drugs. Which actions are essential to ensure 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 drug.
   d. Focus on the child’s chronologic age.
   e. Involve the family in teaching sessions.

Answer 4

a. Assess the child’s developmental age.
c. Consider the actions and uses of the drug.
e. Involve the family in teaching sessions.

Question 5

5. The Principle of Atraumatic Care includes: (Select all that apply.)
   a. Pain management
   b. Collaborative care with family members
   c. Restraining infants to administer drugs
   d. Keeping the child apart from family members when administering drugs

Answer 5

a. Pain management
b. Collaborative care with family members

Question 6

6. Which of the following strategies are helpful when working with adolescent patients to promote adherence? (Select all that apply.)
   a. Allow flexibility in the treatment plan.
   b. Use future-oriented examples and consequences to support the need for drug therapy.
   c. Guarantee the adolescent patient privacy when obtaining history.
   d. Set up a mutually developed drug contract.

Answer 6

a. Allow flexibility in the treatment plan.
d. Set up a mutually developed drug contract.