A nurse is caring for a 4-year-old child who is admitted to the hospital for pneumonia. The nurse observes that the child is restless, agitated, and frequently tries to get out of bed. What is the most appropriate nursing intervention to prevent falls in this child?

Choice A reason: This is not the correct answer, as the malfunction is not the most common type of equipment-related injury for a child who has a CVC. Malfunctions may occur due to mechanical failure, occlusion, infection, or thrombosis of the CVC, but it can be prevented or detected by regular assessment and maintenance of the CVC.

Choice B reason: This is not the correct answer, as misuse is not the most common type of equipment-related injury for a child who has a CVC. Misuse may occur due to human error, lack of knowledge, or inappropriate use of the CVC, but it can be prevented or corrected by following the standard guidelines and policies for CVC care.

Choice C reason: This is the correct answer, as disconnection is the most common type of equipment-related injury for a child who has a CVC. Disconnection may occur due to accidental removal, breakage, or loosening of the CVC connections, and it can cause serious complications such as hemorrhage or air embolism. The nurse should secure the CVC connections with tape or clamps and monitor the child for signs of bleeding or air embolism, such as hypotension, tachycardia, dyspnea, chest pain, cyanosis, or altered mental status.

Choice D reason: This is not the correct answer, as entanglement is not the most common type of equipment-related injury for a child who has a CVC. Entanglement may occur due to excessive or tangled tubing that can interfere with the child's mobility or comfort, but it can be prevented or minimized by organizing the tubing and keeping it away from the child's reach and movement.

Choice A reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is correct in terms of name, dose, route, time, and patient.

Choice B reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is measured and administered accurately and safely. Oral syringes or droppers are more precise and easier to use than cups or spoons for liquid medication.

Choice C reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication dosage and calculation are correct and appropriate for the patient's weight and age. Another nurse can act as a double-check and catch any potential errors or discrepancies.

Choice D reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is given to the right patient. Comparing the infant's identification band with the MAR and asking the parent to confirm the infant's name are two ways of verifying the patient's identity.

Choice E reason: This action should not be taken by the nurse to prevent medication errors, as it may alter the effectiveness, absorption, or taste of the medication. Crushing or dissolving tablets or capsules and mixing them with formula or juice may also cause choking or aspiration in infants. The nurse should only administer medications that are in liquid form or prescribed to be crushed or dissolved.