Key Pediatric Nursing Interventions

Question 1

Assess what prior to med administration

Answer 1

Allergies
VS/physical exam
Developmental age

Question 2

5 rights to med administration

Answer 2

Right:
-pt
-med
-dose
-route
-time

Question 3

How to provide atraumatic care when administering meds (4)

Answer 3

Comforting position

Encourage participation

Give developmentally appriopriate options

Use topical anesthetic prior to injections

Question 4

Oral meds
-what type of route is it
Forms

Answer 4

Preferred route

Forms:
Liquids
Chewable
Powders
Tablets/capsules

Question 5

Oral meds

If only available in tablet or capsules we need to do what

Answer 5

Crush/opened and mixed with liquid or non-essential food

Question 6

Oral meds:

Never what?

Answer 6

Never mix with essential food

Never crush or open and enteric coated or time release tablet

Question 7

Oral med administration

How to

Answer 7

semi-reclined position, older child is upright

Admin into side of mouth in small amounts

Can mix with small amount of sweet non-essential food

Provide something to eat/drink after

Question 8

What color are oral syringes

Answer 8

Orange

Question 9

Rectal med admin

Is it preferred?
Only do it when
Position?

Answer 9

Not preferred (unpredictive drug absorption rates)

Preferred only when child is vomiting or NPO

Position child on side

Question 10

Ophthalmic med admin

Answer 10

Inner to outer

Question 11

Otic (ear) med admin

Answer 11

Less than 3
Down & back

Older than 3
Up & back

Question 12

Nasal drops

Answer 12

Position supine with head hyperextended

After administration keep in position for 1 minute to promote adsorption

Question 13

Nasal sprays

Answer 13

Position child upright with head tilted slightly back

Hold one nostril closed

Have child take deep breath in while administering med

Question 14

IM injections

Infant <12 months old

vastus lateralis
Deltoid
Ventrogluteal

Answer 14

VL: 0.5ml

D: not recommended

VG: not recommended until 7 months

Question 15

IM injections

Toddler 12mon-2yr

vastus lateralis
Deltoid
Ventrogluteal

Answer 15

vastus lateralis: o.5-1ml

Deltoid: 0.5ml

Ventrogluteal: 1ml

Question 16

IM injections

3-5yrs old

vastus lateralis
Deltoid
Ventrogluteal

Answer 16

vastus lateralis: 1ml

Deltoid: 0.5ml

Ventrogluteal: 1.5ml

Question 17

IM injections

6-10yrs old

vastus lateralis
Deltoid
Ventrogluteal

Answer 17

vastus lateralis: 1.5-2ml

Deltoid: 0.5-1

Vastrogluteal: 1.5-2ml

Question 18

SQ injections

Primarily what drugs
Sites (3)

Answer 18

Primary used for :
-heparin, insulin, (vaccines: MMR & Varicella)

Sites:
-abdomen
-lateral upper arms
-anterior thighs

Question 19

Enteral feedings

(Types)
How elevated
Which ones do you check placement
Assess what

Answer 19

Continuous vs intermittent/bolus

HOB 30degree

Check placement for (NG/OG tube) NOT button

Assess abdomen for distention/bowel sounds

Question 20

Enteral feedings

Measure what
Flush with what
Feeding placed in what
Once complete do what

Answer 20

Measure gastric residual (remove air/replace contents)

Flush with sterile water once complete

Feeding placed in syringe or bag

Question 21

The duration for IV therapy

Answer 21

3-5 days for PIV

PICC (longer needs)

CVL (very sick)

Question 22

Atraumatic care of IV insertion

Answer 22

Limit attempts

Use transilluminator (vein finder)

Use topical numbing agents

child life therapy to assist-demonstrate proceduire on doll

JTIP (buffered lidocaine)

Question 23

IV admin

Most meds giving this way have to be given at a what?

Direct IV push meds are for what

Majority of IV meds given using what

Answer 23

Most meds given at a specific rate

Direct IV push med reserved for emergency situation

Majority of IV meds given using a syringe pump