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.
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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Related Questions
Correct Answer is C
Explanation
A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.
Correct Answer is A
Explanation
A. Dorsal recumbent position (lying on the back with knees flexed and feet flat on the bed) allows for easy access to administer vaginal cream and is comfortable for the client.
B. Prone position (lying face down) is not suitable for administering vaginal cream.
C. Sims' position (lying on the left side with the upper knee flexed and raised towards the chest) is used for rectal examinations or enemas, not vaginal cream administration.
D. Orthopneic position (sitting upright or leaning forward to breathe easier) is not appropriate for vaginal cream administration.
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