A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?
"You should place the medication along the side of your child's tongue during administration.".
"You should put small bits of ice on your child's tongue prior to administering the medication.".
"You should position your child on their back during administration of the medication.".
"You should add the medication to your child's formula prior to feeding.".
The Correct Answer is A
Choice A rationale:
Correct Answer. Placing the medication along the side of the child's tongue is a recommended technique for administering oral medication to infants. This helps prevent the infant from spitting out the medication and encourages swallowing. Placing the medication directly on the center of the tongue might trigger the gag reflex.
Choice B rationale:
Putting small bits of ice on the child's tongue prior to administering the medication is not a standard technique and is not necessary for giving liquid medication. This could potentially create discomfort for the infant and may not contribute to effective medication administration.
Choice C rationale:
Positioning the child on their back during administration of the medication is not ideal. This position might increase the risk of choking. Placing the child in an upright or slightly inclined position is generally recommended to aid in swallowing and prevent choking.
Choice D rationale:
Adding the medication to the child's formula prior to feeding is not advisable without consulting a healthcare provider. Mixing medication with formula can alter the medication's effectiveness or interactions. It's important to administer medications separately from formula to ensure accurate dosing. The correct answer is choice C. Document the infant's respiratory rate every 2 hr. The correct answer is choice D. Adopted. The correct answer is choice A. "You should place the medication along the side of your child's tongue during administration."
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Placing the infant in a supine position during naps might not be the best action for an infant with heart failure. In heart failure, infants often experience difficulty breathing due to fluid accumulation in the lungs. Placing the infant in a more upright position, such as semi-Fowler's, can help alleviate some of this respiratory distress.
Choice B rationale:
Feeding the infant a bottle every 4 hours is important, but it might not directly address the immediate concerns of an infant with heart failure. Infants with heart failure might have difficulty feeding due to fatigue and respiratory distress. Feeding smaller, more frequent meals and assessing the infant's feeding tolerance is crucial.
Choice C rationale:
Correct Answer. Documenting the infant's respiratory rate every 2 hours is an important action. Infants with heart failure often have respiratory distress and an increased respiratory rate, as the body tries to compensate for decreased cardiac output. Documenting the respiratory rate will help the healthcare team monitor the infant's condition and assess the effectiveness of interventions.
Choice D rationale:
Withholding digoxin if the infant's heart rate is greater than 100/min is not necessarily the correct action. Digoxin is a medication commonly used in heart failure to improve cardiac contractility. While it's important to monitor the infant's heart rate, a heart rate of greater than 100/min might be due to the body's compensatory mechanisms in response to heart failure. Withholding the medication without consulting a healthcare provider might not be appropriate.
Correct Answer is B
Explanation
Choice A rationale:
The Rotavirus vaccine is typically administered to infants, usually starting at 2 months of age, to protect against severe diarrhea and vomiting caused by rotavirus infection. However, the child in question is 11 years old, and the rotavirus vaccine is not recommended for administration at this age. The vaccine's protection window is within the infant and early childhood period, and the child would likely have received this vaccine earlier.
Choice B rationale:
Haemophilus influenzae type b (Hib) Hib vaccine is recommended as a series of doses to protect against Haemophilus influenzae type B infection, which can lead to severe illnesses like meningitis and pneumonia. While the child may have received this vaccine in infancy, a booster dose is often recommended around age 11 to ensure ongoing protection. This choice is correct for the given age group.
Choice C rationale:
Hepatitis A Hepatitis A vaccine is typically administered in two doses, with the first dose given at age 1 and the second dose administered at least 6 months later. The child in question is 11 years old, and assuming the child received the vaccine as per the standard schedule, there would be no need to administer this vaccine again.
Choice D rationale:
Human papillomavirus (HPV) HPV vaccine is recommended for adolescents to protect against several strains of the human papillomavirus that can lead to various cancers later in life. It's usually administered in a series of doses starting around age 11 or 12. However, the prompt states that the child is already up-to-date with current immunizations, and if the child received the HPV vaccine at the appropriate age, there would be no need for another dose at this time.
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