A nurse is preparing to administer a liquid medication to a 10-month-old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Mix the medication in a bottle with the infant's regular formula and administer.

Administer the medication with a needleless syringe placed in the buccal pouch.

Hold the infant in a supine position for a few seconds after administration.

Administer the medication quickly while the infant is securely restrained.

Answer and Explanation

The Correct Answer is B

A. Mixing medication in a bottle with formula increases the risk of the infant not receiving the full dose and does not address the aspiration risk.
B. Administering medication with a needleless syringe placed in the buccal pouch allows for controlled, slow administration, minimizing the risk of aspiration.
C. Holding the infant in a supine position after administration is not sufficient to prevent aspiration during administration.
D. Administering medication quickly while the infant is restrained may increase the risk of aspiration due to rapid swallowing.

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Correct Answer is B

Explanation

A. Atropine is not used as an antidote for warfarin overdose. It is primarily used to treat bradycardia and certain types of heart block.
B. Vitamin K is the antidote for warfarin overdose. Warfarin inhibits vitamin K-dependent clotting factors, and vitamin K helps reverse its effects by promoting clotting factor synthesis in the liver.
C. Protamine is used as an antidote for heparin, not warfarin. It binds to heparin to neutralize its anticoagulant effects.
D. Epinephrine is not used as an antidote for warfarin overdose. It is primarily used in emergencies such as severe allergic reactions (anaphylaxis) or cardiac arrest.

A. Ask the client to remain in a side-lying position with the affected ear down for several minutes after instillation. B. Pull the client's pinna down and back prior to instillation. C. Warm the medication to room temperature before administration. D. Press a cotton ball into the client's ear canal after instillation.

Correct Answer is C

Explanation

A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.

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A nurse is preparing to administer a liquid medication to a 10-month-old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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