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 A

Explanation

Choice A reason: Setting a good example by always wearing a seat belt models safe behavior, which children are likely to emulate. This prioritizes consistent safety habits, aligning with pediatric safety education principles, making it the most effective instruction for promoting car safety in families during a health fair presentation.

Choice B reason: Rewarding with candy for seat belt use may encourage compliance but risks unhealthy eating habits and extrinsic motivation. Modeling seat belt use fosters intrinsic safety habits, making this less effective and incorrect compared to the nurse’s priority of setting a consistent example for car safety.

Choice C reason: Stopping the car for unbuckled restraints addresses behavior but may be impractical and unsafe on busy roads. Modeling seat belt use prevents issues by reinforcing norms, making this reactive approach less prioritized and incorrect for the primary car safety instruction in a family setting.

Choice D reason: Explaining seat belt laws may inform but is less effective for young children who respond better to role modeling than legal consequences. Parental example drives behavior, making this less impactful and incorrect compared to prioritizing consistent seat belt use by adults in the family.

A. While attending to the child, reassure the sister and suggest interventions she can help with. B. Ask the sister if she prefers to leave the exam room. C. Reassure the child that he is going to be fine and that his sister is just nervous. D. Ask his sister to calm down so that she can help her brother remain calm as well.

Correct Answer is A

Explanation

Choice A reason: Reassuring the sister while attending to the child and involving her in interventions reduces her anxiety, stabilizing the 5-year-old’s emotional state. This aligns with pediatric emergency care principles, making it the best initial action to manage the escalating anxiety in the emergency room.

Choice B reason: Asking the sister to leave may increase her distress and isolate the child, worsening his anxiety. Reassuring and involving her is more supportive, making this counterproductive and incorrect compared to the nurse’s role in calming both the caregiver and child effectively.

Choice C reason: Reassuring the child about his sister’s nerves doesn’t address her anxiety, which is escalating his distress. Involving the sister in care reduces both anxieties, making this insufficient and incorrect compared to the nurse’s priority of stabilizing the emotional environment in the ER.

Choice D reason: Asking the sister to calm down may heighten her distress, as she’s already hysterical, and doesn’t offer support. Reassuring and involving her helps both, making this ineffective and incorrect compared to the nurse’s action to reduce anxiety for the child and caregiver.

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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 preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family?

Correct Answer is A

Explanation

Correct Answer is A

Explanation

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

The nurse is observing an infant and notes that the infant is restless, wide-awake but quiet. The mother reports that her baby often is awake for hours at a time and is very fidgety. How would the nurse respond to her observation?

The nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment?

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

The caregiver of an infant keeps removing the pulse oximetry sensor claiming it is too tight and hurting the baby. Which response should the nurse prioritize in addressing this situation?

Which of the following is most correct regarding the gastrointestinal system of the child?