A nurse is caring for an infant with a congenital heart disease who is prescribed multiple medications. What should the nurse do to ensure proper administration of medications?
Crush all medications and mix them with the infant's formula.
Administer medications simultaneously to reduce the number of doses.
Use a medication organizer to keep track of the medication schedule.
Allow the parents to decide the medication dosing times.
The Correct Answer is C
A) Incorrect. Not all medications can be crushed, and mixing them with the infant's formula may affect their efficacy. Crushing medications should only be done when it is safe and appropriate, as determined by the healthcare provider.
B) Incorrect. Administering medications simultaneously may not be feasible or safe, as some medications require specific intervals between doses. The nurse should follow the prescribed administration schedule to ensure appropriate drug levels in the infant's system.
C) The answer is C. Using a medication organizer can help the nurse and the infant's parents keep track of the complex medication schedule. This helps prevent missed doses and ensures proper administration of each medication.
D) Incorrect. The nurse, along with the healthcare provider, should determine the medication dosing times based on the infant's condition and the prescribed schedule. Leaving the decision solely to the parents may lead to dosing errors or missed doses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Prostaglandin E1 does not primarily aim to improve cardiac contractility. It is used for a different purpose in the management of congenital heart diseases.
B) Incorrect. Prostaglandin E1 is not used to reduce systemic blood pressure. In fact, it may have the opposite effect, causing vasodilation and potentially lowering blood pressure.
C) The answer is C. Prostaglandin E1 is used to promote and maintain the patency of the ductus arteriosus, especially in critical congenital heart defects. This ensures adequate blood flow to systemic circulation until corrective surgery can be performed.
D) Incorrect. Prostaglandin E1 does not decrease heart rate. It primarily affects the patency of the ductus arteriosus.
Correct Answer is A
Explanation
A) The answer is A. Monitoring urine output closely is essential postoperatively to assess kidney perfusion and fluid balance, as infants are at risk of fluid shifts after cardiac surgery.
B) Incorrect. While administering prescribed analgesics is important for postoperative pain management, it is not the priority intervention among the options provided.
C) Incorrect. Encouraging deep breathing and coughing exercises is important to prevent respiratory complications, but it is not the priority intervention immediately after cardiac surgery.
D) Incorrect. Elevating the head of the bed can help with respiratory effort, but it is not the priority intervention. Monitoring urine output and fluid balance is more critical in the early postoperative period.
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