The nurse is administering a crushed tablet to an 18-month-old infant. What is a recommended guideline for this intervention?

Place the crushed tablet in the infant's formula.

Mix the crushed tablet with the infant's cereal.

Mix the crushed tablet with a small amount of applesauce.

Crushed tablets should only be mixed with water.

Answer and Explanation

The Correct Answer is C

A. Place the crushed tablet in the infant's formulA. Mixing crushed tablets with formula may alter the taste or consistency of the formula, making it less palatable for the infant.

B. Mix the crushed tablet with the infant's cereal: Mixing crushed tablets with cereal may also alter the taste and texture of the cereal, potentially making it unappealing to the infant.

C. Mix the crushed tablet with a small amount of applesaucE. Mixing crushed tablets with a small amount of applesauce is a common method for administering medication to infants and

toddlers. The applesauce helps mask the taste and texture of the crushed tablet, making it easier for the child to swallow.

D. Crushed tablets should only be mixed with water: While water can be used to administer crushed tablets, mixing them with water alone may not effectively mask the taste or texture of the medication, making it less likely that the child will swallow it. Mixing with a food like applesauce is often more palatable for young children.

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Correct Answer is A

Explanation

A. Body weight: Body weight is the most reliable indicator of fluid loss, as changes in weight directly reflect changes in fluid balance. Monitoring weight is essential for assessing dehydration and guiding fluid replacement therapy.

B. Skin integrity: While changes in skin turgor and skin integrity can be indicators of

dehydration, they are less reliable in infants, especially if they have certain skin conditions or are very young.

C. Respiratory ratE. Although increased respiratory rate can occur as a compensatory mechanism for metabolic acidosis associated with dehydration, it is not as reliable as changes in body weight for assessing fluid loss.

D. Blood pressurE. While blood pressure may be affected by severe dehydration, it is not as sensitive or practical as monitoring body weight for assessing fluid loss in infants.

A. A Jewish male B. A white male C. An African-American male D. An Asian female

Correct Answer is C

Explanation

A. A Jewish male. While certain genetic factors may predispose individuals to hypertension, ethnicity or religious affiliation alone is not a direct risk factor for hypertension. Screening for hypertension should be based on individual risk factors and not solely on ethnicity or religion.

B. A white male. While hypertension can affect individuals of any race or ethnicity, it is less prevalent among white populations compared to African-American populations. However, hypertension can still occur in white males, especially if they have other risk factors such as obesity, family history, or unhealthy lifestyle habits.

C. An African-American male. African-American individuals, particularly males, have a higher prevalence of hypertension compared to other racial and ethnic groups. Genetic predisposition, as well as socio-economic factors and healthcare disparities, contribute to this increased risk.

Therefore, it is important to screen African-American males for hypertension, starting from adolescence, to ensure early detection and management.

D. An Asian female. While hypertension can affect individuals of Asian descent, the prevalence is generally lower compared to other racial and ethnic groups such as African-Americans. However, certain subgroups within the Asian population, such as South Asians, may have higher rates of hypertension due to genetic and lifestyle factors. Screening for hypertension should be based on individual risk factors rather than broad racial or ethnic categories.

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The nurse is administering a crushed tablet to an 18-month-old infant. What is a recommended guideline for this intervention?

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