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Which strategy might the nurse use when administering oral medications to a young child who is reluctant?
- A. Mix the medication with chocolate milk.
- B. Tell the child that the medication is candy.
- C. Give the medication quickly if the child is crying.
- D. Offer the child fruit juice after the medication is swallowed.
Correct Answer: D
Rationale: Offering fruit juice after swallowing medication encourages cooperation without compromising nutrient intake.
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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.
How would the nurse record the infant's urine output?
- A. 47 mL
- B. 44.5 mL
- C. 43.5 mL
- D. 40.5 mL
Correct Answer: B
Rationale: Subtracting the dry diaper weight (2.5 g) from the wet diaper weight (47 g) yields 44.5 mL of urine output.
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.
What initial position will the nurse maintain for this patient?
- A. Left side-lying
- B. Supine
- C. Prone
- D. Semi-Fowler's
Correct Answer: B
Rationale: Lying supine post-lumbar puncture helps prevent headaches by maintaining spinal fluid pressure.
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.