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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale
Lethargy in a child who is 2 days postoperative following the insertion of a ventriculoperitoneal shunt could indicate a serious problem such as shunt malfunction or infection, and should be the priority.
Choice B rationale
A respiratory rate of 20/min is within the normal range for a 4-year-old child and is not typically a cause for concern.
Choice C rationale
Lying flat on the unaffected side is not typically a cause for concern following ventriculoperitoneal shunt surgery.
Choice D rationale
A urine output of 50 mL in 2 hr is within the normal range for a 4-year-old child and is not typically a cause for concern.
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