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 A
Explanation
Breasts are soft without engorgement or leakage.This indicates that lactation suppression has been successful and the woman is not experiencing any discomfort or risk of infection from milk accumulation.
Breasts are firm with mild tenderness or leakage is wrong because it suggests that lactation is still occurring and the woman may need to express some milk for comfort or use other non-pharmacological methods to suppress it.
Breasts are hard with moderate pain or leakage is wrong because it indicates that the woman is suffering from breast engorgement, which can lead to mastitis if not treated.The woman may need pharmacological intervention to suppress lactation and relieve pain.
Breasts are swollen with severe pain or leakage is wrong because it shows that the woman has developed mastitis, which is a bacterial infection of the breast tissue that requires antibiotics and analgesics.The woman may also need to drain the infected breast by expressing milk or using a pump.
Normal ranges for lactation suppression vary depending on the individual and the method used.Generally, lactation suppression can take from a few days to a few weeks.
Correct Answer is A
Explanation
Hemoglobin level of 11 g/dL.This is within the normal range for a newborn, which is 13.4-19.9 g/dL for the first month.
Hemoglobin is the oxygen-carrying protein in red blood cells.
Choice B is wrong because serum calcium level of 8 mg/dL is below the normal range for a newborn, which is 8.5-10.6 mg/dL for the first month.
Calcium is important for bone health and muscle function.
Choice C is wrong because serum bilirubin level of 15 mg/dL is above the normal range for a newborn, which is less than 12 mg/dL for the first week.
Bilirubin is a waste product from the breakdown of red blood cells.
High levels can cause jaundice, a yellowing of the skin and eyes.
Choice D is wrong because serum sodium level of 130 mEq/L is below the normal range for a newborn, which is 135-145 mEq/L.
Sodium is an electrolyte that helps regulate fluid balance and nerve impulses.
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