A hospitalized 3-year-old toddler is to receive an oral medication. For the most effective approach, the nurse should tell the child:

That it will make him feel better right away.

That the medication is candy and tastes good.

In a confident manner what the medication is for and how it will be given.

Firmly that the drug is important to take as soon as possible.

Answer and Explanation

The Correct Answer is C

Choice A reason: Promising instant relief is misleading; most drugs take time, and false expectations may erode trust, reducing cooperation in a toddler’s care.

Choice B reason: Calling it candy is unethical; it risks future candy confusion with drugs, potentially leading to accidental ingestion, unsafe for a 3-year-old.

Choice C reason: Confident explanation suits a toddler’s understanding; it builds trust, reduces fear, and ensures cooperation by clearly stating purpose and process age-appropriately.

Choice D reason: Firm insistence may scare a toddler; without explanation, it lacks reassurance, potentially increasing resistance and distress during medication administration.

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Correct Answer is B

Explanation

Choice A reason: Calling the name relies on response accuracy; confused or hearing-impaired patients may not answer correctly, risking misidentification and medication errors.

Choice B reason: Verbal confirmation plus armband verification against the MAR ensures identity via two identifiers, aligning with safety protocols to prevent administration errors scientifically.

Choice C reason: Family or visitors may misidentify due to stress or error; this lacks direct patient verification, increasing risk of giving medication to the wrong individual.

Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.

A. The patient is unable to exercise due to severe osteoarthritis in both hips. B. The patient follows a low-carbohydrate, low-protein, high-fat diet. C. The patient has a history of hypertension and diabetic kidney disease. D. The patient has a 35 pack-year history of cigarette smoking.

Correct Answer is C

Explanation

Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.

Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.

Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.

Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.

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A hospitalized 3-year-old toddler is to receive an oral medication. For the most effective approach, the nurse should tell the child:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

Correct Answer is B

Explanation

The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?

Correct Answer is C

Explanation

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