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. Waiting to document medications until the end of a shift increases the risk of errors and delays in patient care due to potential inaccuracies.
B. Avoiding distractions during medication preparation helps maintain focus and reduces the likelihood of errors.
C. Preparing medications for multiple clients simultaneously increases the risk of medication mix-ups and errors.
D. Medications should not be removed from automatic dispensing systems before review by pharmacists, as this can lead to medication errors and compromised safety protocols.

A. Upward and backward B. Upward and outward C. Down and backward D. Down and outward

Correct Answer is C

Explanation

Rationales:
A. Pulling the auricle upward and backward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.
B. Pulling the auricle upward and outward is appropriate when administering eardrops to clients >3years old helps straighten the ear canal, allowing for proper administration of the medication into the ear canal for effective treatment.
C. According to the American Academy of Pediatrics, for children under the age of 3, the correct method is to gently pull the outer flap of the affected ear downward and backward. This maneuver helps to straighten the ear canal, allowing the eardrops to flow down into the canal properly.
D. Pulling the auricle down and outward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.

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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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Correct Answer is C

Explanation

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