A nurse is preparing to administer oral medication to a 3-month-old infant. Which of the following actions should the nurse plan to take?
Place infant supine in the crib.
Mix medication with formula.
Position the syringe to the side of the infant's tongue.
Measure elixir using a medicine cup.
The Correct Answer is C
A. Placing the infant supine in the crib is not a recommended position for administering oral medication as it may cause choking or aspiration.
B. Mixing medication with formula is not recommended, as it may alter the effectiveness of the medication or lead to incomplete dosing.
C. Positioning the syringe to the side of the infant's tongue is the best method to prevent choking and allow the infant to swallow the medication effectively.
D. A medicine cup is not appropriate for measuring medication for an infant due to the small volume and potential for spillage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Carrying a water bottle is appropriate as hydration is important, especially for those with spinal cord injuries who may have a higher risk of urinary tract infections.
B. For an adolescent with spina bifida, bladder function is often impaired, and intermittent catheterization is usually required 4-6 times a day to prevent urinary retention and infections. Twice a day may be insufficient.
C. Using a suppository for bowel management is a common and recommended practice for individuals with spina bifida.
D. Doing wheelchair exercises is an appropriate way to maintain muscle strength and prevent complications related to immobility.
Correct Answer is B
Explanation
A. The vital signs in option A are within acceptable ranges for a 2-year-old and do not require urgent intervention.
B. The low blood pressure (79/40 mm Hg) and elevated heart rate (135/min) indicate possible shock or significant dehydration, both of which require immediate intervention.
C. The vital signs in option C are slightly low but are not immediately concerning. The blood pressure is within an acceptable range for a child of this age.
D. The vital signs in option D are stable, with no immediate concerns requiring urgent intervention.
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