A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Children require more frequent dosing to achieve desired effects.

Children have less mature livers and kidneys than adults.

Children metabolize medications more quickly than adults.

Children excrete urine more quickly than adults.

Answer and Explanation

The Correct Answer is B

A. Children do not necessarily require more frequent dosing; the dosing schedule depends on the medication and the condition being treated.
B. Children have less mature livers and kidneys, affecting drug metabolism and excretion, making them more vulnerable to medication errors and adverse effects.
C. Children do not metabolize all medications more quickly; their metabolism can vary based on age and development.
D. Children may have different rates of urine excretion, but this is not the primary reason for their vulnerability to medication errors.

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Correct Answer is D

Explanation

A. Distribution refers to the movement of medication throughout the body.
B. Excretion is the elimination of medications from the body, primarily through the kidneys.
C. Absorption is the process by which medications enter the bloodstream from the site of administration.
D. Impaired liver function can affect the metabolism of medications, potentially leading to altered drug levels and effects in the body, making metabolism the critical process to monitor.

A. "The client has developed drooping facial features." B. "The client has a history of hypertension.” C. "The client is disoriented and pupils are slow to respond to light." D. "The client may benefit from a neurology consult."

Correct Answer is B

Explanation

A. This statement describes the current situation, which is part of the "S" (Situation) in SBAR, not the background. Accurate reporting requires separating current findings from background information.
B. Providing the client's history of hypertension is appropriate for the "B" (Background) component. It gives context to the current situation, helping the provider understand potential underlying conditions.
C. This information describes the patient's current assessment and is appropriate for the "A" (Assessment) part of SBAR. Including this in the background can cause confusion and disrupt the communication flow.
D. This statement provides a recommendation and fits into the "R. (Recommendation) part of SBAR. Mixing recommendation with background information can make the communication less clear.

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A nurse is working in a pediatric special care unit. She recently transferred to this unit from an adult intensive care unit. The nurse is very cautious in administering medications because children are especially vulnerable to medication errors. Why is this true?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with impaired liver function and is jaundice. The nurse needs to make more focused assessments when administering medications to this patient because the patient may experience problems with the process of:

Correct Answer is D

Explanation

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?

Correct Answer is B

Explanation

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