A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?
Administers medication with an oral syringe.
Inserts the medication in the infant’s buccal cavity.
Allows the infant to swallow some of the medication before administering more.
Positions the infant in a supine position.
The Correct Answer is D
Choice A reason:
Administering medication with an oral syringe is a recommended practice for giving liquid medication to infants. An oral syringe allows for accurate measurement and controlled delivery of the medication, reducing the risk of choking and ensuring the infant receives the correct dose. Therefore, this statement does not indicate a need for further instruction.
Choice B reason:
Inserting the medication in the infant’s buccal cavity (the space between the gums and the cheek) is also a recommended technique. This method helps to prevent the infant from spitting out the medication and ensures better absorption. Hence, this statement does not indicate a need for further instruction.
Choice C reason:
Allowing the infant to swallow some of the medication before administering more is a safe and effective way to give medication. This approach helps to prevent choking and ensures that the infant can handle the amount of medication being given. Therefore, this statement does not indicate a need for further instruction.
Choice D reason:
Positioning the infant in a supine position (lying flat on their back) is not recommended when administering oral medication. This position increases the risk of aspiration, where the medication could enter the airway instead of the esophagus. The correct position is to hold the infant in an upright or semi-upright position to ensure safe swallowing and reduce the risk of choking or aspiration. Therefore, this statement indicates a need for further instruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Erythromycin is a macrolide antibiotic and is generally considered safe for patients with a penicillin allergy. It does not share the beta-lactam ring structure that is responsible for cross-reactivity in penicillin-allergic patients.
Choice B reason:
Gentamicin is an aminoglycoside antibiotic and is also safe for patients with a penicillin allergy. It does not have the beta-lactam ring structure and therefore does not pose a risk of cross-reactivity.
Choice C reason:
Amphotericin B is an antifungal medication and is not related to penicillin. It is safe for use in patients with a penicillin allergy as it does not share any structural similarities with penicillin.
Choice D reason:
Amoxicillin-clavulanate is a combination of a penicillin antibiotic (amoxicillin) and a beta-lactamase inhibitor (clavulanate). Since it contains amoxicillin, it should not be given to patients with a penicillin allergy due to the risk of an allergic reaction.
Correct Answer is []
Explanation
Step 1: Determine the total daily dose of vancomycin.
- Total daily dose = 50 mg
Step 2: Divide the total daily dose into four equal doses.
- Each dose = 50 mg ÷ 4
- Each dose = 12.5 mg
Step 3: Determine the amount of vancomycin available per capsule.
- Each capsule = 125 mg
Step 4: Calculate the number of capsules needed for each dose.
- Number of capsules per dose = 12.5 mg ÷ 125 mg
- Number of capsules per dose = (12.5 ÷ 125)
- Number of capsules per dose = 0.1
Step 5: Round the answer to the nearest whole number.
- Rounded number of capsules per dose = 0.1 (rounded to 0)
Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.
So, the nurse should administer 1 tabletwith each dose.
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