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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. While obtaining culture specimens is important, the priority in this case is managing the child’s airway, as drooling and difficulty swallowing suggest potential airway obstruction.

B. Administering an antipyretic is not the priority; airway management is more urgent in this situation.

C. The priority is to prepare for intubation, as the child’s symptoms suggest possible epiglottitis, which can cause rapid airway obstruction. Securing the airway is critical.

D. Inserting an IV catheter is important for hydration and medication administration, but airway management is the immediate priority.

A. Measure abdominal girth B. Notify practitioner C. Plan to move forward with procedure D. Auscultate for bowel sounds

Correct Answer is B

Explanation

A. Measuring abdominal girth is important in monitoring for abdominal distension, but the passing of a normal brown stool suggests that the intussusception may have resolved.

B. Passing a normal stool is a potential indication that the intussusception has spontaneously reduced, and the healthcare provider should be notified to reassess the plan of care.

C. Moving forward with the procedure may not be necessary if the intussusception has resolved, as indicated by the normal stool.

D. Auscultating for bowel sounds is important but would not be the primary action in this situation, as the passing of stool is a more immediate clue.

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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?

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Naxlex Comprehensive Predictor Exams

The parents of a 7-year-old child bring her to the emergency department. They tell the nurse that she awoke with a tympanic temperature of 39.2 (102.2°), an extremely sore throat, drooling, and difficulty swallowing. Which of the following actions is the nurse's priority?

Correct Answer is C

Explanation

The nurse is caring for a boy with probable intussusception. While waiting for a radiologist-guided air enema to reduce the intussusception, he passes a normal brown stool. Which nursing action is the most appropriate?

Correct Answer is B

Explanation

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