A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

"You should place the medication along the side of your child's tongue during administration.".

"You should put small bits of ice on your child's tongue prior to administering the medication.".

"You should position your child on their back during administration of the medication.".

"You should add the medication to your child's formula prior to feeding.".

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Correct Answer. Placing the medication along the side of the child's tongue is a recommended technique for administering oral medication to infants. This helps prevent the infant from spitting out the medication and encourages swallowing. Placing the medication directly on the center of the tongue might trigger the gag reflex.
Choice B rationale:
Putting small bits of ice on the child's tongue prior to administering the medication is not a standard technique and is not necessary for giving liquid medication. This could potentially create discomfort for the infant and may not contribute to effective medication administration.
Choice C rationale:
Positioning the child on their back during administration of the medication is not ideal. This position might increase the risk of choking. Placing the child in an upright or slightly inclined position is generally recommended to aid in swallowing and prevent choking.
Choice D rationale:
Adding the medication to the child's formula prior to feeding is not advisable without consulting a healthcare provider. Mixing medication with formula can alter the medication's effectiveness or interactions. It's important to administer medications separately from formula to ensure accurate dosing. The correct answer is choice C. Document the infant's respiratory rate every 2 hr. The correct answer is choice D. Adopted. The correct answer is choice A. "You should place the medication along the side of your child's tongue during administration."

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Correct Answer is C

Explanation

Choice A rationale:
Decreased white blood cells (WBCs) in cerebrospinal fluid (CSF) would not support the diagnosis of bacterial meningitis. In bacterial meningitis, the presence of bacteria triggers an inflammatory response, leading to an increase in WBCs in the CSF (pleocytosis).
Choice B rationale:
Elevated glucose levels in CSF would actually be more consistent with viral rather than bacterial meningitis. In bacterial meningitis, glucose levels are typically decreased due to the high metabolic demands of bacteria on the glucose present in the CSF.
Choice C rationale:
Elevated total protein in cerebrospinal fluid (CSF) is indicative of inflammation and disruption of the blood-brain barrier. Bacterial meningitis causes an intense inflammatory response, leading to an increase in total protein in the CSF.
Choice D rationale:
Decreased pressure in the CSF would not be a characteristic finding in bacterial meningitis. In fact, bacterial meningitis often leads to an increase in CSF pressure due to the inflammation and accumulation of inflammatory cells and proteins.

A. Gently lift the traction weights off the floor when repositioning the client. B. Reduce intake of foods containing fiber while nonambulatory. C. Perform passive range-of-motion exercises to the affected extremity every 2 hours. D. Apply protective padding to the end of the pin sites.

Correct Answer is D

Explanation

Choice A rationale:
Gently lift the traction weights off the floor when repositioning the client. Rationale: This choice is not recommended in the care of a client in skeletal traction. Traction weights should never be lifted off the floor as they provide the necessary counter traction to align and immobilize the fractured bone. Lifting the weights could disrupt the traction and jeopardize the healing process.
Choice B rationale:
Reduce intake of foods containing fiber while nonambulatory. Rationale: While constipation can be a concern for clients in skeletal traction due to decreased mobility, reducing fiber intake is not the appropriate intervention. Adequate fiber intake is important to promote regular bowel movements and prevent constipation. Hydration and mobility exercises are more suitable approaches to manage constipation.
Choice C rationale:
Perform passive range-of-motion exercises to the affected extremity every 2 hours. Rationale: Passive range-of-motion exercises are important to maintain joint mobility and prevent muscle atrophy in a nonambulatory client. However, performing these exercises every 2 hours might be excessive and could cause unnecessary discomfort for the client. Range-of-motion exercises are usually done every 4 to 8 hours to strike a balance between maintaining joint health and providing rest.
Choice D rationale:
Apply protective padding to the end of the pin sites. Rationale: This is the correct choice. Applying protective padding to the end of the pin sites is crucial to prevent pressure ulcers and infection. The pin sites are potential entry points for bacteria, and protecting them helps reduce the risk of infection. Padding also prevents pressure on the skin and underlying tissues, reducing the potential for pressure injuries.

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A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

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Correct Answer is D

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