Nokea
What should be the next action by the nurse?
- A. Give the medication after confirming the child's name from the foot of the crib.
- B. Ask the charge nurse to give the medicine.
- C. Confirm the identity with the charge nurse, make a new bracelet, and give the medicine.
- D. Delay the medication until the admissions office can supply a new ID bracelet.
Correct Answer: C
Rationale: Confirming identity with the charge nurse and making a new bracelet ensures safe medication administration.
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What factor does the nurse explain affects the infant's physiological response to medications?
- A. Faster metabolism in the liver
- B. Slower intestinal transit
- C. Immature kidney function
- D. Increased secretion of hydrochloric acid
Correct Answer: C
Rationale: Immature kidney function in infants under 1 year hinders effective drug excretion, affecting response.
What is the best pulse location for the nurse to use when assessing the pulse rate on a 12-month-old infant?
- A. Brachial
- B. Apical
- C. Radial
- D. Femoral
Correct Answer: B
Rationale: Apical pulses are advised for children under age 5 years because they provide the most accurate heart rate assessment.
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.
What statement made by the adolescent led the nurse to determine she understood the instructions?
- A. I should wash my perineum with soap and water, then begin to urinate.'
- B. I clean the perineum from front to back with an antiseptic wipe before I urinate.'
- C. I'll collect the first stream of urine in a sterile container.'
- D. I will discard the first void and collect a freshly voided specimen 30 minutes later.'
Correct Answer: B
Rationale: Cleaning the perineum from front to back with an antiseptic wipe ensures a clean-catch urine specimen.
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.