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 D

Explanation

A. Insomnia is not typically associated with aspirin therapy.
B. Constipation is not a common adverse effect of aspirin.
C. Blurred vision is not a common adverse effect of aspirin.
D. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so monitoring for signs of bleeding (e.g., easy bruising, nosebleeds) is crucial.

A. Bring the dropper from below the client's eye to instill the solution. B. Hold the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac. C. Instill the drops into the inner canthus. D. Ask the client to look down when instilling the solution.

Correct Answer is B

Explanation

A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.

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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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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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