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How would the nurse teach the parent to best administer an oral suspension?
- A. Pour the medication into a small cup and allowing the infant to drink it.
- B. Place the medication in a nipple and having the infant suck the nipple.
- C. Use an oral syringe and placing the medication in the side of the infant's mouth.
- D. Administer the medication with a dropper onto the back of the infant's tongue.
Correct Answer: C
Rationale: Using an oral syringe to place medication in the side of the mouth ensures accurate dosing and safe administration.
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Which actions will the nurse implement?
- A. Assess rectal temperature every 4 hours.
- B. Administer acetaminophen as ordered.
- C. Assess skin turgor.
- D. Restrict fluids.
- E. Assess level of consciousness.
Correct Answer: B,C,E
Rationale: Administering acetaminophen, assessing skin turgor, and monitoring consciousness address fever and dehydration risks; rectal temperatures are avoided in pediatrics.
Which intervention is correct when a nurse is administering a gastrostomy feeding by gravity?
- A. Discard the residual and increase the volume of feeding by the amount of residual.
- B. Flush the gastrostomy tube with 2 to 4 ounces of water before the feeding.
- C. Refill the syringe with formula after it has completely emptied.
- D. Position the child on the right side after a feeding.
Correct Answer: D
Rationale: Positioning on the right side after feeding promotes gastric emptying and prevents regurgitation.
Where is the best site for giving an IM injection to a 15-month-old child?
- A. Ventrogluteal muscle
- B. Dorsogluteal muscle
- C. Deltoid muscle
- D. Vastus lateralis muscle
Correct Answer: D
Rationale: The vastus lateralis is safe for IM injections in children due to its lack of major blood vessels and nerves.
How often should a child who has a continuous intravenous infusion should be assessed?
- A. Hourly
- B. Every 2 hours
- C. Every 3 hours
- D. Every 4 hours
Correct Answer: A
Rationale: Hourly assessments are necessary to monitor for complications like inflammation or infiltration.
What emergency action should be implemented for airway obstruction in the infant?
- A. Six to 10 midsternal thrusts
- B. Five back blows followed by five chest thrusts
- C. Five chest thrusts followed by five back blows
- D. Abdominal thrusts until the object is expelled
Correct Answer: B
Rationale: Five back blows followed by five chest thrusts is the standard intervention for infant airway obstruction.