A nurse is preparing to administer an oral liquid medication to a 3-month-old infant who is receiving powdered infant formula.
The nurse should:
Mix the medication with a small amount of formula in a bottle
Use an oral syringe to squirt the medication into the side of the mouth
Place the medication on a pacifier and let the infant suck on it
Dip a cotton swab in the medication and rub it on the gums
The Correct Answer is B
Use an oral syringe to squirt the medication into the side of the mouth.
This is because an oral syringe allows the nurse to measure the exact dose of the medication and deliver it slowly and safely into the infant’s mouth, avoiding choking or aspiration.
The other choices are wrong for the following reasons:
• Choice A) Mixing the medication with formula in a bottle can alter the taste and effectiveness of the medication, and also make it difficult to ensure that the infant receives the full dose.
• Choice C) Placing the medication on a pacifier can cause the infant to spit out the pacifier or the medication, and also increase the risk of infection from contaminated pacifiers.
• Choice D) Dipping a cotton swab in the medication and rubbing it on the gums can irritate the oral mucosa and cause pain or bleeding, and also waste some of the medication on the swab.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
90 mL.According to the CDC, babies who are only getting infant formula and no breast milk need about2.5 ounces (75 mL) of formula per pound of body weight each day.
A newborn who weighs 3 kg (6 lb 10 oz) would need about15 ounces (450 mL) of formula per day, divided into 8 to 12 feedings.
This means that at each feeding, the newborn would consume about90 mLof formula.
Choice A is wrong because30 mLis too little for a newborn who weighs 3 kg.
This would only provide about10 ounces (300 mL) of formula per day, which is not enough for adequate growth and development.
Choice B is wrong because60 mLis also too little for a newborn who weighs 3 kg.
This would only provide about20 ounces (600 mL) of formula per day, which is still below the recommended amount.
Choice D is wrong because120 mLis too much for a newborn who weighs 3 kg.This would provide about40 ounces (1200 mL) of formula per day, which is more than the maximum amount of32 ouncesthat most babies need before they start solids.
Overfeeding can cause problems such as spitting up, gas, and obesity.
Correct Answer is D
Explanation
The child has frequent temper tantrums.This is because temper tantrums are not a normal part of a 3-year-old child’s development and can indicate emotional or behavioral problems.According to the height and weight chart for children, a 3-year-old child should be able to do the following:
• Speak in three-word sentences
• Copy a circle with a crayon
• Ride a tricycle using pedals
Therefore, choices A, B and C are wrong because they are expected developmental milestones for a 3-year-old child.
A nurse should collect data from the child and the parents to determine the cause and frequency of the temper tantrums and provide appropriate interventions and referrals.
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