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 C

Explanation

A. Lecture involves one-way communication where information is delivered by the nurse to the client without active participation. It does not confirm understanding or assess learning through client feedback.
B. Question and answer involves the nurse posing questions to assess understanding but may not actively involve the client in demonstrating knowledge or skills.
C. Teach-back is an effective teaching method where the nurse asks the client to explain the procedure back in their own words. This technique helps assess the client's understanding, clarify information, and reinforce learning, promoting patient empowerment and adherence to treatment plans.
D. Role play involves simulating scenarios to practice skills or behaviors, which may not directly assess the client's understanding of a specific procedure.

A. Objective B. Plan C. Action D. Subjective

Correct Answer is A

Explanation

A. Vital signs should be documented in the Objective section of the SOAP note because they are measurable, observable data.
B. The Plan section outlines the actions and treatments planned based on the assessment data.
C. The Action section details the specific interventions carried out during the client's care.
D. The Subjective section includes the client's perceptions, feelings, and statements about their health.

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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

A nurse is assisting with teaching a client a client about how to instill eye drops. The nurse asks the client to explain the procedure in their own words. Which of the following types of teaching methods is the nurse using?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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