A nurse observes a parent of an infant administer a prescribed oral medication.
Which of the following actions by the parent indicates a need for further instruction?
Inserts medication in the buccal cavity.
Wraps infant in a blanket.
Positions infant in a supine position.
Administers medication with an oral syringe.
The Correct Answer is C
Choice A rationale
Inserting medication in the buccal cavity is an appropriate method for administering oral medication to an infant. The buccal cavity is the area between the cheek and gums, and medication placed here is absorbed directly into the bloodstream.
Choice B rationale
Wrapping the infant in a blanket can provide comfort and security during medication administration, making it easier for both the parent and the infant.
Choice C rationale
Positioning the infant in a supine position during oral medication administration is not safe. This position increases the risk of aspiration, which can lead to choking.
Choice D rationale
Administering medication with an oral syringe is an appropriate method for giving oral medication to an infant. It allows for accurate dosing and can be directed towards the cheek to prevent choking.
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Correct Answer is C
Explanation
Choice A rationale
While it’s important to explain to a child why they are receiving medication, simply telling them that it will make them feel better may not be enough to alleviate their fear or anxiety about receiving an injection.
Choice B rationale
Asking the parents to hold the child during an injection can be traumatic for both the child and the parent. It’s generally recommended to have a trained healthcare professional hold the child in a safe and secure manner.
Choice C rationale
Allowing the child to hold a favorite toy can provide comfort and distraction during the injection.
Choice D rationale
While it might seem like a good idea to administer the medication in the child’s room where they feel safe, this can actually make the child associate their safe space with negative experiences.
Correct Answer is D
Explanation
Choice A rationale
At 10 months, it is normal for an infant to not be able to recognize objects by name. Language development varies greatly among children, and many do not start to understand and respond to simple requests and recognize common objects until around 12 months.
Choice B rationale
The ability to turn pages in a book is a fine motor skill that typically develops around 12 to 18 months. Therefore, it is normal for a 10-month-old infant to not have this ability.
Choice C rationale
Peek-a-boo is a common game that many infants enjoy. However, not all infants may show interest in this game. Lack of interest in peek-a-boo is not necessarily a cause for concern.
Choice D rationale
By 10 months, most infants can sit without support. If a 10-month-old infant does not sit steadily without support, it could indicate a delay in motor development and should be reported to the provider.
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