A nurse is preparing to administer an oral medication to a preschooler. Which of the following actions should the nurse take to encourage acceptance of the medication?
Mix the medication with the child's favorite food.
Dilute the medication with 8 oz of water.
Provide an ice pop after administering the medication.
Give 4 oz of milk with the medication.
The Correct Answer is C
a. Mix the medication with the child's favorite food. Mixing medication with a child’s favorite food can be risky as it may alter the taste of the food and cause the child to develop an aversion to that food. Additionally, if the child does not consume the entire portion, they may not receive the full dose of medication.
b. Dilute the medication with 8 oz of water. Diluting medication in a large volume of water is not advisable for a preschooler as it may be difficult for them to drink the entire amount, leading to an incomplete dose. It can also dilute the medication to the point where its efficacy is reduced.
c. Provide an ice pop after administering the medication. Offering an ice pop after administering the medication is a positive reinforcement technique. The ice pop can also help numb the taste buds, reducing the aftertaste of the medication, making it more acceptable for the child.
d. Give 4 oz of milk with the medication.Giving milk with medication is not generally recommended as it can interfere with the absorption of some medications. Additionally, if the medication tastes unpleasant, the child might refuse to drink the milk as well.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Administer ceftriaxone. Correct. The CSF analysis shows elevated pressure, cloudy appearance, increased WBC count, elevated protein, and decreased glucose levels, which are indicative of bacterial meningitis. Ceftriaxone is a broad-spectrum antibiotic that is commonly used to treat bacterial meningitis, especially in infants and young children. Immediate administration of antibiotics is crucial to treat the infection and prevent complications.
Other Options:
B. Initiate serum glucose testing every 1 hr. Incorrect. Although the CSF glucose is low, this finding is associated with bacterial meningitis rather than a primary glucose metabolism issue in this context. Regular glucose monitoring every 1 hour is not warranted for managing meningitis. The priority is to address the underlying infection with antibiotics.
C. Administer pneumococcal conjugate vaccine. Incorrect. Vaccination is a preventive measure, not an immediate treatment for an ongoing infection. This infant likely already needs treatment for a current infection, and vaccination would be inappropriate at this stage.
D. Initiate neutropenic precautions.Incorrect. Neutropenic precautions are used for patients with significantly low neutrophil counts to prevent infection. The CSF results do not suggest neutropenia; instead, they suggest an active bacterial infection. The focus should be on treating the infection, not on precautions for low neutrophil count.
Correct Answer is A
Explanation
A. Time the episode. Correct. Timing the seizure is crucial because it helps determine the length and severity of the seizure, which is important for medical evaluation and treatment decisions.
B. Administer chlorothiazide. Chlorothiazide is a diuretic used for conditions like hypertension and edema, not for managing seizures. The correct medication for acute seizure management could be an anticonvulsant like diazepam or lorazepam.
C. Place the child in a prone position. Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. The child should be placed in a side-lying position to maintain an open airway and prevent aspiration.
D. Hold the child down. Holding the child down can cause injury. The appropriate action is to ensure the child is safe from injury by moving objects away and cushioning the head, without restraining movements.
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