A nurse is preparing to administer medication to an infant. Which of the following actions should the nurse plan to take?
Mix the medication in a bottle of formula.
Mix the medication with a small amount of honey.
Place the medication in an oral syringe.
Place the medication in the back of the infant's throat using a dropper.
The Correct Answer is C
A. Mixing medication in a bottle of formula is not recommended as the infant may not finish the entire bottle, leading to incomplete dosage. It also changes the taste of the formula, which may cause feeding aversions.
B. Honey should not be given to infants under 1 year old due to the risk of botulism. It is not a suitable medium for mixing medication for young infants.
C. Placing the medication in an oral syringe allows for precise dosing and easy administration. It ensures that the infant receives the correct amount of medication.
D. Placing the medication in the back of the infant's throat using a dropper can cause gagging and aspiration. An oral syringe allows for better control and safer administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Swelling in a dependent position is expected due to gravity and should reduce with elevation.
B. Pain following range-of-motion exercises can be normal after a fracture, but persistent or severe pain should be monitored.
C. Coolness of the toes indicates impaired circulation, which can be a sign of compartment syndrome or cast tightness and requires immediate medical attention.
D. Pruritus under the cast is a common complaint and can be managed with appropriate measures but does not require urgent reporting.
Correct Answer is C
Explanation
A. Nasal discharge negative for glucose indicates that there is no cerebrospinal fluid (CSF) leakage, which is a positive sign. While it is important to note, it is not the priority in this situation.
B. A negative Babinski reflex is a normal finding in children older than 2 years. It does not indicate an acute issue and is not the priority.
C. Asymmetric pupils can be a sign of increased intracranial pressure or a serious brain injury, making this the priority finding. It requires immediate attention to prevent further complications.
D. A 2 cm scalp laceration, while needing medical attention, is not life-threatening and is not the highest priority compared to potential brain injury indicated by asymmetric pupils.
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