The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the rights of pediatric medication administration? Select all that apply.

The nurse checks the documented time of the last dosage administered.

The nurse calculates the dosage according to the child's weight.

The nurse makes sure the medication is given within the hour of the ordered time.

The nurse explains the therapeutic effects of the medication to the child and parents. The nurse administers the medication even though the child is adamant about not taking it.

Answer and Explanation

Correct Answer : A,B

A. The nurse checks the documented time of the last dosage administereD. This action ensures that the medication is given at the appropriate frequency and prevents overdosing or underdosing.

B. The nurse calculates the dosage according to the child's weight: Pediatric medication dosages are often calculated based on the child's weight to ensure safe and effective administration.

C. The nurse makes sure the medication is given within the hour of the ordered timE. While

timely administration of medication is important, the specific time interval within which a PRN medication should be given may vary depending on the medication and the healthcare provider's orders. This statement does not necessarily reflect the rules of pediatric medication

administration.

D. The nurse explains the therapeutic effects of the medication to the child and parents. The nurse administers the medication even though the child is adamant about not taking it: Administering medication against the child's wishes without proper explanation or consent does not adhere to the principles of pediatric medication administration. It is important to provide education about the medication and involve the child and parents in the decision-making process whenever possible.

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Correct Answer is D

Explanation

A. "Do you enjoy reading a book?"

While reading preferences can provide some insight into the child's interests, it may not directly address the issue of trouble adjusting to school.

B. "Are you happy with your teacher?"

Asking about the child's satisfaction with the teacher may provide some information, but it may not uncover the underlying issues contributing to the trouble adjusting to school.

C. "Do you like your new school?"

This question addresses the general perception of the school environment but may not necessarily uncover specific issues related to adjusting to school.

D. “What are your new classmates like?"

Asking about the child's interactions with classmates can provide valuable information about social dynamics, peer relationships, and potential sources of stress or difficulty adjusting to school. It allows the nurse to explore the child's experiences and perceptions within the school setting, which can help identify areas of concern and potential interventions.

A. The child does not vocally respond to voices. B. The child never squeals or yells. C. The child does not babble. D. The child does not say dada or mama.

Correct Answer is C

Explanation

A. The child does not vocally respond to voices: While vocal responsiveness is an important aspect of development, it may vary among infants and is not necessarily indicative of a developmental problem at 4 months.

B. The child never squeals or yells: Squealing and yelling are vocalizations that infants may or may not exhibit at this age, and their absence alone may not necessarily indicate a developmental problem.

C. The child does not babblE. Babbling, which typically begins around 4 to 6 months of age, involves the repetition of consonant-vowel combinations (e.g., "bababa"). The absence of babbling by 4 months may suggest a delay in language development and could be a potential sign of a developmental problem.

D. The child does not say dada or mamA. Infants may begin to associate "dada" or "mama" with specific caregivers, but this typically occurs later, closer to 6 to 9 months of age. The absence of this behavior at 4 months may not necessarily indicate a developmental problem.

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The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the rights of pediatric medication administration? Select all that apply.

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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