A nurse is preparing to administer medication to a toddler.
Which of the following actions should the nurse take? Select all that apply.

Calculate the safe dosage.

Identify the toddler by asking the caregiver.

Tell the caregiver to administer the medication.

Offer juice after the medication.

Ask the toddler to pick a toy to hold during administration.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale

Calculating the safe dosage is a crucial step in administering medication to a toddler. This ensures that the child receives the appropriate amount of medication based on their weight and age.

Choice B rationale

Identifying the toddler by asking the caregiver is an important step to ensure that the correct medication is given to the correct child.

Choice C rationale

Telling the caregiver to administer the medication is not recommended. As a nurse, it is your responsibility to administer the medication to ensure it is done correctly.

Choice D rationale

Offering juice after the medication can help mask any unpleasant taste and make the medication administration process more tolerable for the toddler.

Choice E rationale

Asking the toddler to pick a toy to hold during administration can serve as a distraction and make the process less stressful for the child.

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Correct Answer is A

Explanation

Choice A rationale

The FACES scale is a valid tool for assessing pain in children aged 3 years and older. It uses a series of faces to help the child express their level of pain.

Choice B rationale

The Visual Analog Scale is typically used for adults and older children who can understand the concept of ranking their pain on a scale from 0 to 10. It may not be suitable for a 3-year-old child.

Choice C rationale

A color tool may not be effective for a 3-year-old child as they may not yet fully understand the concept of associating colors with different levels of pain.

Choice D rationale

A numeric scale is typically used for adults and older children who can understand the concept of ranking their pain on a scale from 0 to 10. It may not be suitable for a 3-year-old child.

A. “I will adjust the harness straps every day.”. B. “I will check my baby’s skin three times each day.”. C. “I will gently massage lotion on his skin around the harness clasps.”. D. “I will place the diaper over the harness.”.

Correct Answer is B

Explanation

Choice A rationale

Adjusting the harness straps every day is not recommended. The straps should be adjusted only as directed by the healthcare provider or orthopedic specialist to ensure proper positioning and effectiveness of the Pavlik harness.

Choice B rationale

This is the correct answer. Checking the baby’s skin three times a day is important to prevent skin irritation or breakdown under the harness.

Choice C rationale

Massaging lotion on the skin around the harness clasps is not recommended as it can cause skin irritation.

Choice D rationale

The diaper should be placed under the harness to prevent soiling and maintain the effectiveness of the harness.

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A nurse is preparing to administer medication to a toddler.Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data regarding the pain level of a 3-year-old child on the second postoperative day following an appendectomy.Which of the following actions should the nurse take?

Correct Answer is A

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Correct Answer is B

Explanation

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A nurse is preparing to administer medication to a toddler.
Which of the following actions should the nurse take? Select all that apply.