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 D

Explanation

Choice A reason: Withholding delays treatment; nausea may persist, risking vomiting of the dose if given later, reducing bioavailability and therapeutic effect over time.

Choice B reason: Sips of water won’t prevent vomiting; with ongoing nausea, the oral dose is likely expelled, decreasing absorption and failing to deliver the medication effectively.

Choice C reason: Crackers may worsen nausea or fail to retain the dose; vomiting risks remain high, compromising oral administration’s reliability in this acute condition.

Choice D reason: Rectal or parenteral routes bypass the stomach, ensuring delivery despite vomiting; this maintains therapeutic levels, critical for efficacy in a nauseated patient.

A. Into the patient's vastus lateralis B. Into the patient's deltoid C. Into the patient's intravenous line D. Into the fatty tissue of the patient's abdomen

Correct Answer is D

Explanation

Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.

Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.

Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.

Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.

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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:

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Naxlex Comprehensive Predictor Exams

A patient who is to receive a daily medication by the oral route has had nausea and vomiting for the last 24 hours. The best action to ensure that the patient receives the scheduled dose is to:

Correct Answer is D

Explanation

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Correct Answer is D

Explanation

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