A nurse is preparing to administer medication to a 6-month-old infant who has an ear infection. What actions should the nurse take to prevent medication errors in this patient? (Select all that apply.)

Check the medication label against the medication administration record (MAR) three times before giving the medication.

Use an oral syringe or dropper to measure and administer liquid medication.

Ask another nurse to verify the medication dosage and calculation.

Compare the infant's identification band with the MAR and ask the parent to confirm the infant's name.

Crush or dissolve any tablets or capsules and mix them with formula or juice.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is correct in terms of name, dose, route, time, and patient.

Choice B reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is measured and administered accurately and safely. Oral syringes or droppers are more precise and easier to use than cups or spoons for liquid medication.

Choice C reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication dosage and calculation are correct and appropriate for the patient's weight and age. Another nurse can act as a double-check and catch any potential errors or discrepancies.

Choice D reason: This action should be taken by the nurse to prevent medication errors, as it helps ensure that the medication is given to the right patient. Comparing the infant's identification band with the MAR and asking the parent to confirm the infant's name are two ways of verifying the patient's identity.

Choice E reason: This action should not be taken by the nurse to prevent medication errors, as it may alter the effectiveness, absorption, or taste of the medication. Crushing or dissolving tablets or capsules and mixing them with formula or juice may also cause choking or aspiration in infants. The nurse should only administer medications that are in liquid form or prescribed to be crushed or dissolved.

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Correct Answer is D

Explanation

Choice A reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps ensure that the traction is effective and does not cause any complications such as nerve damage, muscle spasms, or skin breakdown.

Choice B reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps prevent pressure ulcers, infection, or inflammation of the skin under the traction device.

Choice C reason: This action should be taken by the nurse to prevent equipment-related injuries, as it helps assess the blood flow, sensation, and movement of the affected extremity and detect any signs of impaired circulation, nerve compression, or compartment syndrome.

Questions on Types and examples of play and distraction techniques

A. Apply a vest restraint to the child and secure it to the bed frame. B. Place a bed alarm on the child's mattress and lower the bed rails. C. Move the child to a room closer to the nurses' station and check on him frequently. D. Involve the child in diversionary activities and encourage parental supervision.

Correct Answer is D

Explanation

Choice A reason: This is not the appropriate nursing intervention, as it may increase the risk of injury, agitation, or psychological trauma in the child. Restraints should only be used as a last resort and with a physician's order.

Choice B reason: This is not the appropriate nursing intervention, as it may not prevent the child from falling out of bed or wandering around the unit. Bed alarms are useful for alerting the staff, but they do not stop the child from moving.

Choice C reason: This is a possible nursing intervention, as it may facilitate closer observation and monitoring of the child. However, it may not address the underlying cause of the child's restlessness or agitation.

Choice D reason: This is the most appropriate nursing intervention, as it may reduce the child's boredom, anxiety, or fear and provide a sense of security and comfort. Diversionary activities may include toys, games, books, or music that are suitable for the child's age and developmental level. Parental supervision may also help prevent falls by assisting the child with toileting, positioning, or ambulation.

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A nurse is preparing to administer medication to a 6-month-old infant who has an ear infection. What actions should the nurse take to prevent medication errors in this patient? (Select all that apply.)

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is preparing to administer medication to a 6-month-old infant who has an ear infection. What actions should the nurse take to prevent medication errors in this patient? (Select all that apply.)