A nurse is preparing to administer an oral liquid medication to a 3-month-old infant who is receiving powdered infant formula.
The nurse should:
Mix the medication with a small amount of formula in a bottle
Use an oral syringe to squirt the medication into the side of the mouth
Place the medication on a pacifier and let the infant suck on it
Dip a cotton swab in the medication and rub it on the gums
The Correct Answer is B
Use an oral syringe to squirt the medication into the side of the mouth.
This is because an oral syringe allows the nurse to measure the exact dose of the medication and deliver it slowly and safely into the infant’s mouth, avoiding choking or aspiration.
The other choices are wrong for the following reasons:
• Choice A) Mixing the medication with formula in a bottle can alter the taste and effectiveness of the medication, and also make it difficult to ensure that the infant receives the full dose.
• Choice C) Placing the medication on a pacifier can cause the infant to spit out the pacifier or the medication, and also increase the risk of infection from contaminated pacifiers.
• Choice D) Dipping a cotton swab in the medication and rubbing it on the gums can irritate the oral mucosa and cause pain or bleeding, and also waste some of the medication on the swab.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Breast milk does not contain enough vitamin D for bone health.Vitamin D is needed to support healthy bone development and to prevent rickets, a condition that causes weak or deformed bones.Breast milk alone does not provide infants with an adequate amount of vitamin D.The Dietary Guidelines for Americans and American Academy of Pediatrics recommend breastfed and partially breastfed infants be supplemented with 400 IU per day of vitamin D beginning in the first few days of life.
Choice B is wrong because breast milk does not interfere with vitamin D absorption from sunlight.However, reducing sun exposure is important for preventing skin cancer, and other factors such as clothing, air pollution, and skin type can also decrease the amount of vitamin D a person can make from sunlight.
Choice C is wrong because breast milk does not increase vitamin D excretion in urine.
Vitamin D is a fat-soluble vitamin that is stored in the body and not easily lost in urine.
Choice D is wrong because breast milk does not inhibit vitamin D synthesis in the liver.Vitamin D is synthesized in the skin from exposure to sunlight, and then activated in the liver and kidneys to its active form.
Breast milk does not affect this process.
Correct Answer is A
Explanation
Iron is essential for brain development.Iron helps red blood cells carry oxygen through the body and supports a child’s ability to learn.Iron deficiency can cause anemia, which is when there are not enough red blood cells in the body or the child’s ability to carry oxygen throughout the body is lowered.
Choice B is wrong because iron does not prevent constipation in infants.In fact, iron-fortified formula may cause constipation in some infants.
Choice C is wrong because iron does not enhance immune system function.Iron is important for hemoglobin production, but it does not directly affect the immune system.
Choice D is wrong because iron does not improve skin color and tone.Iron deficiency can cause pale skin, but iron supplementation does not change the natural color or tone of the skin.
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