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: Fentanyl patches provide continuous opioid delivery for 72 hours; their fixed schedule isn’t “as needed,” making them unsuitable for acute, variable pain management.

Choice B reason: Acetaminophen with oxycodone is scheduled every 6 hours; this fixed interval lacks the flexibility of “as needed,” limiting its use for breakthrough pain relief.

Choice C reason: Morphine extended-release is designed for sustained release over 12 hours; its fixed dosing isn’t “as needed,” restricting its role to chronic, not acute, pain control.

Choice D reason: Ketorolac IV every 4 hours prn allows flexible dosing; this NSAID targets inflammation and pain acutely, ideal for as-needed administration within safe limits.

A. The patient is experiencing a moderate allergic reaction and should improve shortly. B. These symptoms are probably due to food poisoning because very few patients have true allergic responses. C. The patient is having a mild reaction that can be treated easily with an antihistamine. D. The patient is having an anaphylactic reaction and emergency interventions should be started.

Correct Answer is D

Explanation

Choice A reason: Moderate reactions don't cause breathing difficulty or hypotension. Severe symptoms indicate anaphylaxis, requiring emergency intervention.

Choice B reason: Symptoms align with anaphylaxis, not food poisoning. Assuming an unrelated cause delays life-saving treatment.

Choice C reason: Mild reactions lack systemic effects like hypotension and breathing difficulties. Antihistamines alone are insufficient for anaphylaxis.

Choice D reason: Anaphylaxis involves systemic reactions such as hypotension, airway constriction, and skin symptoms. Immediate interventions prevent progression and save lives.

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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

Which pain medication may be administered to the patient as needed?

Correct Answer is D

Explanation

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

Correct Answer is D

Explanation

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