When initiating a peripheral intravenous (IV) infusion on an infant, what action should the nurse take?

Apply soft restraints to all four extremities.

Assess the dorsal surface of the feet for an IV site.

Instruct parents to sing or croon to the infant.

Select a site that is least restrictive to the infant.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Applying soft restraints to all four extremities of an infant is not typically recommended when initiating a peripheral intravenous (IV) infusion. Restraints can cause distress and may not be necessary for the procedure.
Choice B rationale
While the dorsal surface of the feet can be used as an IV site, it is not typically the first choice for infants. The veins in the feet can be difficult to access and the location can be inconvenient for the infant.
Choice C rationale
Instructing parents to sing or croon to the infant can be comforting and may help soothe the infant during the procedure. However, this action alone does not directly facilitate the successful initiation of an IV infusion.
Choice D rationale
Selecting a site that is least restrictive to the infant is the most appropriate action when initiating a peripheral IV infusion. This can make the procedure less distressing for the infant and allow for easier movement after the IV is in place.

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Free Nursing Study Resources

Correct Answer is ["1"]

Explanation

Step 1 is: Identify the prescribed dose, which is 5 mg.

Step 2 is: Identify the concentration of the medication, which is 5 mg per 5 mL.

Step 3 is: Calculate the volume to administer using the formula: (Prescribed dose ÷ Concentration) × Volume. So, (5 mg ÷ 5 mg/5 mL) = 5 mL. Since 1 teaspoon is approximately 5 mL, the nurse should instruct the parent to give 1 teaspoon with each dose.

A. Flex the knees. B. Raise the hips. C. Cross the arms and legs. D. Perform a log roll.

Correct Answer is D

Explanation

Choice A rationale
Flexing the knees is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. While it may provide some comfort, it does not provide the necessary support to the spine that is needed during movement.
Choice B rationale
Raising the hips is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action could potentially cause strain or damage to the surgical site.
Choice C rationale
Crossing the arms and legs is not the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This action does not provide the necessary support to the spine during movement.
Choice D rationale
Performing a log roll is the recommended technique when moving a client who is recovering from surgical spinal instrumentation for scoliosis. This technique involves the patient keeping their body in alignment while turning onto their side. It helps to maintain the integrity of the spinal fusion and prevent injury to the surgical site.

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When initiating a peripheral intravenous (IV) infusion on an infant, what action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child has been prescribed loratadine 5 mg to be taken orally once a day. The bottle is labeled “Loratadine for Oral Suspension, USP 5 mg per 5 mL.”. How many teaspoons should the nurse instruct the parent to give with each dose?

Correct Answer is ["1"]

Explanation

The nurse is caring for an adolescent with scoliosis who is recovering after a surgical spinal instrumentation. Which technique should the nurse use when moving the client?

Correct Answer is D

Explanation

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