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 ["31"]

Explanation

Step 1: Determine the total volume to be infused.

Total volume = 250 mL

Step 2: Determine the total time for infusion in minutes.

Total time = 2 hours
Convert hours to minutes: 2 hours × 60 minutes/hour = 120 minutes
Result: 120 minutes

Step 3: Determine the drop factor.

Drop factor = 15 gtts/mL

Step 4: Calculate the flow rate in drops per minute.

Flow rate (gtts/min) = (Total volume in mL × Drop factor) ÷ Total time in minutes
Flow rate (gtts/min) = (250 mL × 15 gtts/mL) ÷ 120 minutes
Result: (250 × 15) = 3750
Result: 3750 ÷ 120 = 31.25

Step 5: Round the result to the nearest whole number.

Rounded result: 31

Final Answer: The nurse should adjust the flow rate to deliver 31 drops per minute.

A. Measuring a client’s I&O. B. Obtaining a client’s weight. C. Providing postmortem care for a client. D. Inserting a nasogastric tube for a client.

Correct Answer is D

Explanation

Choice A reason:

Measuring a client’s intake and output (I&O) is a task that can be performed by assistive personnel (AP). This task involves recording the amount of fluids a client consumes and excretes, which does not require the specialized skills of an LPN. Therefore, it is more appropriate to assign this task to the AP.

Choice B reason:

Obtaining a client’s weight is another task that can be delegated to assistive personnel (AP). This task involves using a scale to measure the client’s weight and recording the result. It is a routine task that does not require the advanced training of an LPN.

Choice C reason:

Providing postmortem care for a client can be performed by assistive personnel (AP) under the supervision of an RN or LPN. This task involves preparing the body after death, which includes cleaning and positioning the body. While LPNs can perform this task, it is not exclusive to their scope of practice and can be delegated to AP.

Choice D reason:

Inserting a nasogastric tube for a client is a task that requires the specialized skills and training of an LPN. This procedure involves inserting a tube through the client’s nose into the stomach, which requires knowledge of anatomy, sterile technique, and the ability to assess for complications. Therefore, this task should be assigned to the LPN.

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A nurse observes a parent administer a prescribed oral medication to an infant. Which of the following statements indicates a need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["31"]

Explanation

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

Correct Answer is D

Explanation

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