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 plan to take?
Measure the elixir in a medicine cup before transferring to a syringe
Place the infant supine in a crib prior to administration.
Position the syringe to the side of the infant's tongue.
Mix the medication with 10 mL of formula.
The Correct Answer is C
A. Measure the elixir in a medicine cup before transferring to a syringe:
This option involves measuring the medication using a medicine cup before transferring it to an oral medication syringe. While measuring the medication accurately is important, transferring it from a medicine cup to a syringe introduces an extra step that may increase the risk of spillage or dosage error. It's generally more efficient and accurate to directly draw the medication into the oral syringe.
B. Place the infant supine in a crib prior to administration:
Placing the infant in a supine (lying flat on the back) position in a crib prior to administering oral medication is not recommended, particularly for infants of this age. This position increases the risk of choking or aspiration, as it may cause the medication to flow toward the back of the throat rather than being swallowed properly. It's safer to administer oral medication to infants in an upright or slightly reclined position.
C. Position the syringe to the side of the infant's tongue:
This is the correct choice. Positioning the syringe to the side of the infant's tongue helps facilitate swallowing and reduces the risk of choking or aspiration. Placing the syringe toward the cheek allows the infant to more easily swallow the medication, as it minimizes the chance of the medication flowing toward the back of the throat.
D. Mix the medication with 10 mL of formula:
Mixing medication with formula is not a standard practice for administering oral medication using an oral syringe, particularly without specific instructions from the healthcare provider. Mixing medication with formula may alter the medication's effectiveness and is unnecessary for most oral medications. It's important to administer oral medication directly using an oral syringe to ensure accurate dosing and effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. "You should begin to manipulate the infant's bedtime based on the hospital's visiting hours."
This statement is incorrect. Manipulating the infant's bedtime based on hospital visiting hours may disrupt the infant's regular sleep schedule, potentially causing discomfort and distress. It's important to maintain the infant's routine as much as possible to promote comfort and well-being.
B. "You should bring the infant's favorite blanket to the hospital."
This statement is correct. Bringing the infant's favorite blanket or comfort item can provide familiarity and comfort during the hospital stay. Having familiar items from home can help soothe the infant and reduce anxiety associated with the new environment.
C. "You should read the child a story about hospitalization."
This statement is correct. Reading a story about hospitalization to the child can help prepare them for the upcoming experience and alleviate fear or anxiety. Choosing age-appropriate books that explain what to expect during a hospital stay can help normalize the experience and provide reassurance to the infant and parents.
D. "You will need to go home when it is not visiting hours."
This statement is incorrect. Parents are typically allowed to stay with their infant throughout the hospitalization, especially in the case of pediatric patients. Family presence is important for providing comfort and support to the infant and facilitating bonding during the hospital stay.
Correct Answer is A
Explanation
A. "At this age you should expect your child to be upset when you leave.": This statement provides normalcy to the parents' experience and reassures them that their child's reaction is typical for his age. It acknowledges the child's developmental stage and separation anxiety, helping to alleviate parental concerns.
B. "Your child needs to rest.": While rest is important for infants, this statement does not address the child's emotional needs or the parents' concerns about leaving their child. It may also minimize the significance of the child's distress.
C. "I will notify the provider of his behavior.": Notifying the healthcare provider may be appropriate if the child's distress continues or if there are concerns about the child's well-being, but this statement does not directly address the parents' concerns or provide guidance on how to manage the situation.
D. "Your child is responding to an overstimulating environment.": This statement suggests a possible cause for the child's distress but does not provide guidance or reassurance to the parents on how to address the situation or manage their child's reaction.
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