A nurse is preparing to administer a liquid medication to a 10-month-old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Mix the medication in a bottle with the infant's regular formula and administer.

Administer the medication with a needleless syringe placed in the buccal pouch.

Hold the infant in a supine position for a few seconds after administration.

Administer the medication quickly while the infant is securely restrained.

Answer and Explanation

The Correct Answer is B

A. Mixing medication in a bottle with formula increases the risk of the infant not receiving the full dose and does not address the aspiration risk.
B. Administering medication with a needleless syringe placed in the buccal pouch allows for controlled, slow administration, minimizing the risk of aspiration.
C. Holding the infant in a supine position after administration is not sufficient to prevent aspiration during administration.
D. Administering medication quickly while the infant is restrained may increase the risk of aspiration due to rapid swallowing.

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Correct Answer is B

Explanation

A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

A. Chill the medication prior to administration. B. Hold the dropper against the ear canal while instilling the medication. C. Straighten the external auditory canal by pulling it down and back. D. Apply gentle pressure with a finger to the tragus of the ear.

Correct Answer is D

Explanation

A. Chilling the medication is not necessary for otic drops and could cause discomfort to the client.
B. Holding the dropper against the ear canal is not recommended as it may cause injury to the ear canal.
C. The external auditory canal should be straightened by pulling the ear upward and backward for an adult, which facilitates the drops to flow down into the ear canal.
D. Gentle pressure applied to the tragus of the ear can help in distributing the medication evenly within the ear canal.

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A nurse is preparing to administer a liquid medication to a 10-month-old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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