A nurse is assisting with the care of a child who has spina bifida.
Which of the following precautions should the nurse take while caring for this child?

Latex precautions.

Neutropenic precautions.

Seizure precautions.

Contact precautions.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Children with spina bifida often are allergic to latex, which can be found in medical gloves and things such as bandages, balloons, and pacifiers. Therefore, latex precautions should be taken while caring for a child with spina bifida.

Choice B rationale

Neutropenic precautions are typically used for patients with a low white blood cell count (neutropenia), which makes them more susceptible to infections. There is no specific association between spina bifida and neutropenia, so these precautions would not typically be necessary unless the child has a co-existing condition that causes neutropenia.

Choice C rationale

Seizure precautions are typically used for patients with a seizure disorder, such as epilepsy. While some individuals with spina bifida may also have a seizure disorder, it is not a common feature of the condition. Therefore, seizure precautions would not typically be necessary unless the child has a co-existing seizure disorder.

Choice D rationale

Contact precautions are typically used for patients who have an infection that can be spread by direct contact. There is no specific association between spina bifida and infectious diseases that would require contact precautions, so these precautions would not typically be necessary unless the child has a co-existing infectious disease.

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Correct Answer is C

Explanation

Choice A rationale

While it’s important to explain to a child why they are receiving medication, simply telling them that it will make them feel better may not be enough to alleviate their fear or anxiety about receiving an injection.

Choice B rationale

Asking the parents to hold the child during an injection can be traumatic for both the child and the parent. It’s generally recommended to have a trained healthcare professional hold the child in a safe and secure manner.

Choice C rationale

Allowing the child to hold a favorite toy can provide comfort and distraction during the injection.

Choice D rationale

While it might seem like a good idea to administer the medication in the child’s room where they feel safe, this can actually make the child associate their safe space with negative experiences.

A. Mix the medication with 10 mL of formula. B. Measure the elixir in a medicine cup before transferring to a syringe. C. Position the syringe to the side of the infant’s tongue. D. Place the infant supine in a crib prior to administration.

Correct Answer is C

Explanation

The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.

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A nurse is assisting with the care of a child who has spina bifida.Which of the following precautions should the nurse take while caring for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an IM injection to a preschool-age child.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is assisting with the care of a child who has spina bifida.
Which of the following precautions should the nurse take while caring for this child?