A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Administers medication with an oral syringe.
Inserts the medication in the infant’s buccal cavity.
Allows the infant to swallow some of the medication before administering more.
Positions the infant in a supine position.
The Correct Answer is D
Choice A reason:
Administering medication with an oral syringe is a recommended practice for giving liquid medication to infants. An oral syringe allows for accurate measurement and controlled delivery of the medication, reducing the risk of choking and ensuring the infant receives the correct dose. Therefore, this statement does not indicate a need for further instruction.
Choice B reason:
Inserting the medication in the infant’s buccal cavity (the space between the gums and the cheek) is also a recommended technique. This method helps to prevent the infant from spitting out the medication and ensures better absorption. Hence, this statement does not indicate a need for further instruction.
Choice C reason:
Allowing the infant to swallow some of the medication before administering more is a safe and effective way to give medication. This approach helps to prevent choking and ensures that the infant can handle the amount of medication being given. Therefore, this statement does not indicate a need for further instruction.
Choice D reason:
Positioning the infant in a supine position (lying flat on their back) is not recommended when administering oral medication. This position increases the risk of aspiration, where the medication could enter the airway instead of the esophagus. The correct position is to hold the infant in an upright or semi-upright position to ensure safe swallowing and reduce the risk of choking or aspiration. Therefore, this statement indicates a need for further instruction.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Placing the shoulder harness straps below the level of the newborn’s armpits is incorrect. The shoulder harness straps should be at or below the level of the newborn’s shoulders to ensure a snug and secure fit.
Choice B reason: Keeping the car seat rear-facing until the newborn can sit unsupported is incorrect. The car seat should remain rear-facing until the child reaches the maximum height or weight limit specified by the car seat manufacturer, which is typically around 2 years of age.
Choice C reason: Placing the retainer clip across the newborn’s abdomen is incorrect. The retainer clip should be positioned at the level of the newborn’s armpits to ensure the harness straps are properly aligned and to prevent the baby from slipping out of the harness.
Choice D reason: Positioning the newborn at a 45-degree angle in the car seat is correct. This angle helps keep the newborn’s airway open and reduces the risk of airway obstruction. It also ensures that the baby is securely positioned in the seat.
Correct Answer is C
Explanation
Choice A reason:
The statement “Dark urine” is not typically a manifestation of an allergic reaction to oxacillin. Dark urine can indicate other issues such as dehydration, liver problems, or the presence of blood, but it is not a common sign of an allergic reaction to antibiotics.
Choice B reason:
The statement “Diarrhea” is a common side effect of many antibiotics, including oxacillin, but it is not specifically indicative of an allergic reaction. Diarrhea can occur due to the disruption of normal gut flora by antibiotics, but it does not necessarily mean the patient is allergic to the medication.
Choice C reason:
The statement “Urticaria” (hives) is a classic sign of an allergic reaction. Urticaria presents as raised, itchy welts on the skin and is a common allergic response to medications, including oxacillin. This reaction occurs when the immune system releases histamines in response to the drug.
Choice D reason:
The statement “Fever” can be associated with both infections and allergic reactions, but it is not a definitive sign of an allergic reaction to oxacillin. Fever can occur due to the underlying infection being treated or as a side effect of the medication, but it is not as specific as urticaria for indicating an allergic response.
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