The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?

Choice A reason: Intravenous administration isn’t inherently safer, as it carries risks like infection or extravasation. Less trauma from fewer injections is accurate, making this incorrect, as it overstates safety compared to the true benefit of reduced physical and emotional trauma in pediatric IV medication delivery.

Choice B reason: Intravenous medication reduces the need for multiple injections, minimizing physical and emotional trauma for children. This aligns with pediatric nursing principles for patient comfort, making it the correct statement about the advantage of IV administration compared to repeated intramuscular or subcutaneous injections.

Choice C reason: IV medications are absorbed rapidly, not slowly, due to direct bloodstream delivery. Less trauma from fewer injections is the true benefit, making this incorrect, as it misrepresents the pharmacokinetics of intravenous administration in the context of pediatric medication delivery.

Choice D reason: IV medication is delivered into veins, not fatty tissue, which describes subcutaneous injections. Reduced trauma from fewer injections is accurate, making this incorrect, as it confuses IV administration with another route in the nurse’s understanding of medication delivery methods.

Choice A reason: Discussing care options involves clinical judgment, which is the nurse’s responsibility, not delegable to family. Providing comfort tasks like swabs or pads is appropriate, making this incorrect, as it involves professional decision-making unsuitable for family delegation in the adolescent’s care.

Choice B reason: Keeping medical equipment like a blood pressure cuff involves monitoring, a nursing task, not delegable to family. Comfort tasks like providing swabs or pillows are suitable, making this incorrect, as it requires clinical skills beyond family’s role in the terminally ill adolescent’s care.

Choice C reason: Supplying mouth swabs for lip moistening is a simple comfort task family can perform, promoting involvement and patient comfort. This aligns with pediatric palliative care delegation, making it a correct intervention to delegate to family for the terminally ill adolescent’s care.

Choice D reason: Providing disposable pads for hygiene is a non-clinical task family can manage, supporting dignity and comfort. This aligns with family involvement in palliative care, making it a correct intervention to delegate for the terminally ill adolescent’s care in the hospital setting.

Choice E reason: Supplying pillows for repositioning is a comfort-focused task family can handle, enhancing the adolescent’s well-being. This aligns with pediatric palliative care principles, making it a correct intervention to delegate to family members for the terminally ill adolescent’s hospital care.