The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

Holding the buttocks tightly together for 1 to 2 minutes after insertion.

Pre-warming the suppository in the hand for 10 to 20 seconds.

Using the index finger to insert the suppository into the rectum.

Placing the child on the abdomen for insertion of the suppository.

Answer and Explanation

The Correct Answer is A

Choice A reason: Holding the buttocks together for 1-2 minutes after suppository insertion prevents expulsion, ensuring the medication is absorbed in a 3-month-old. This aligns with pediatric medication administration protocols, making it the correct intervention to assure effective delivery of the rectal suppository in this infant.

Choice B reason: Pre-warming the suppository is not standard, as it may soften excessively, complicating insertion. Holding the buttocks ensures retention, directly impacting absorption, making this less effective and incorrect compared to the critical step of preventing expulsion in a 3-month-old during suppository administration.

Choice C reason: Using the index finger is inappropriate for an infant, as the pinky finger is safer for their small rectum. Holding the buttocks ensures medication retention, making this unsafe and incorrect compared to the prioritized intervention for effective suppository administration in a 3-month-old child.

Choice D reason: Placing the child on the abdomen may aid positioning but does not ensure suppository retention like holding the buttocks. Retention is critical for absorption, making this less essential and incorrect compared to the direct intervention of securing the suppository in place post-insertion for the infant.

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Correct Answer is C

Explanation

Choice A reason: Picking up the child without assessment risks disrupting a potentially critical condition, as quiet lying may indicate pain or altered consciousness. Checking consciousness and pain ensures safety, making this premature and incorrect compared to prioritizing a thorough evaluation of the child’s quiet state.

Choice B reason: Leaving the child in a flexed position assumes no issue without assessing consciousness or pain, which quiet behavior may mask. Evaluating the child’s status is critical, making this passive and incorrect compared to actively checking for underlying issues in the child’s quiet presentation on the bed.

Choice C reason: Checking the level of consciousness and pain scale determines if the child’s quietness indicates distress, pain, or neurological issues, ensuring appropriate care. This aligns with pediatric assessment protocols, making it the correct action to address the child’s condition lying quietly on the bed.

Choice D reason: Assuming the child is sleeping on the parent’s lap is incorrect, as the child is on the bed, and quietness may indicate distress. Assessing consciousness and pain is essential, making this inaccurate and incorrect compared to evaluating the child’s true condition in this scenario.

A. An interesting texture. B. Well-heated. C. Bland. D. Thickened.

Correct Answer is C

Explanation

Choice A reason: Interesting textures may intrigue older infants but can overwhelm new eaters, risking rejection. Bland foods are better tolerated initially, making this less suitable and incorrect compared to the nurse’s focus on foods infants accept best when introducing solids in the class.

Choice B reason: Well-heated foods risk burns and aren’t preferred by infants, who tolerate room-temperature or slightly warm foods. Bland flavors are more acceptable, making this incorrect, as it doesn’t address the taste preference infants respond to best when starting solid foods in the diet.

Choice C reason: Bland foods are gentle on infants’ sensitive palates, encouraging acceptance when introducing solids. This aligns with pediatric nutrition guidelines for transitioning diets, making it the correct factor for the nurse to highlight in teaching parents about starting solid foods for infants.

Choice D reason: Thickened foods may pose choking risks or be hard to swallow for new eaters. Bland foods are more readily accepted, making this incorrect, as it doesn’t prioritize the flavor profile infants respond to best when introducing solid foods in the parent education class.

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The nurse has an order to administer a rectal suppository to a 3-month-old child. In addition to lubricating the suppository, which intervention will help assure appropriate administration of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a child who is lying quietly on the bed. Which action should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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