The nurse caring for a 6-year-old client enters the room to administer an oral medication inthe form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daughter has a hard time swallowing pills. What is the best response by the nurse?
Crush the pill and add it to applesauce.
Ask the child to try swallowing the pill and offer a choice of drinks to take with it.
Call the pharmacy and ask if the pill can be crushed.
Request that the healthcare provider prescribe the medication in liquid form.
The Correct Answer is D
A. Crush the pill and add it to applesaucE. Crushing a pill and mixing it with food or drink without consulting a healthcare provider or pharmacist can alter the medication's efficacy or cause adverse effects. This should only be done under professional guidance.
B. Ask the child to try swallowing the pill and offer a choice of drinks to take with it: While encouraging the child to attempt swallowing the pill with various drinks may be helpful, it may not address the underlying issue of pill-swallowing difficulty.
C. Call the pharmacy and ask if the pill can be crusheD. Contacting the pharmacy to inquire about crushing the pill is a reasonable step, but ultimately, the decision should involve the healthcare provider who prescribed the medication.
D. Request that the healthcare provider prescribe the medication in liquid form: This is the best response because liquid medications are often easier for children to swallow, especially if they have difficulty swallowing pills. The healthcare provider can consider alternative formulations or dosage forms to accommodate the child's needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pulse rate is increased.
While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.
B. Breathing is diaphragmatic.
As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.
C. Secondary sex characteristics are present.
The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.
D. Blood pressure has reached adult level.
Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.
Correct Answer is D
Explanation
A. Increased intracranial pressurE. Pulsation and bulging of the fontanel may be signs of
increased intracranial pressure in infants. However, it is important to differentiate between normal fontanel characteristics and abnormal signs of elevated intracranial pressure. In this case, the pulsation and bulging are likely normal responses to crying and changes in intracranial pressure during the newborn period.
B. Dehydration: Dehydration typically presents with sunken fontanels rather than pulsation and bulging. Dehydration is a serious condition that requires prompt assessment and intervention, but it is not indicated by the findings described in the scenario.
C. Overhydration: Overhydration is not typically associated with pulsation and bulging of the fontanel. Overhydration may lead to fluid overload and edema but does not directly affect fontanel characteristics.
D. These are normal findings: Pulsation and brief bulging of the fontanel in response to crying are considered normal findings in newborns. Fontanels allow for the flexibility of the skull bones during childbirth and provide space for brain growth during infancy. Pulsation and bulging may occur temporarily during crying or changes in intracranial pressure and are not necessarily
indicative of pathology.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.