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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason:

Assisting the client on a bedpan to urinate can help if the bladder is full, as a full bladder can impede uterine contraction and contribute to bleeding. However, this is not the immediate priority. The primary concern is to control the bleeding, which requires more direct intervention.

Choice B reason:

Increasing the client’s fluid intake is important for maintaining hydration, especially if there is significant blood loss. However, this action does not directly address the cause of the bleeding. Immediate measures to control the hemorrhage are more critical.

Choice C reason:

Palpating the client’s uterine fundus is an essential step in assessing the cause of the bleeding. If the uterus is not contracting properly (uterine atony), it can lead to excessive bleeding. However, while this assessment is crucial, it is not the definitive intervention to stop the bleeding.

Choice D reason:

Preparing to administer oxytocic medication is the priority intervention. Oxytocic drugs, such as oxytocin (Pitocin), stimulate uterine contractions, which help to control and reduce postpartum hemorrhage. Administering this medication promptly can effectively manage the bleeding and prevent further complications.

A. Raw celery B. Grapes C. Peanut butter D. Sliced bananas

Correct Answer is D

Explanation

Choice A reason: Raw celery is not recommended for toddlers as it can be a choking hazard due to its stringy texture and difficulty in chewing. Toddlers have smaller airways and less developed chewing skills, making raw celery a risky snack option.

Choice B reason: Grapes can also be a choking hazard for toddlers if not prepared properly. Whole grapes are the perfect size to block a toddler’s airway. If grapes are to be given, they should be cut into small, manageable pieces to reduce the risk of choking.

Choice C reason: Peanut butter is a nutritious option but should be given with caution. It can be sticky and difficult for toddlers to swallow, posing a choking risk. It is best to spread peanut butter thinly on bread or mix it with other foods to make it easier to consume.

Choice D reason: Sliced bananas are an excellent snack for toddlers. They are soft, easy to chew, and unlikely to cause choking. Bananas are also rich in essential nutrients like potassium and vitamins, making them a healthy choice.

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