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 A
Explanation
Choice A reason: Transporting a school-age client who is in traction to another department is unsafe for a volunteer. Traction involves the use of weights and pulleys to align or immobilize a part of the body, typically after a fracture. This requires careful handling and monitoring to ensure the traction remains effective and does not cause additional injury. Only trained healthcare professionals should manage and transport clients in traction to prevent complications.
Choice B reason: Reading a book to a preschool client who has AIDS is a safe and appropriate assignment for a volunteer. AIDS (Acquired Immunodeficiency Syndrome) is not transmitted through casual contact such as reading a book together. Volunteers can provide emotional support and companionship to children with AIDS without risk of transmission.
Choice C reason: Playing a computer video game with an adolescent who has sickle cell disease is also a safe and suitable activity for a volunteer. Sickle cell disease is a genetic disorder that affects the shape of red blood cells, leading to various complications. However, it is not contagious, and engaging in recreational activities can help improve the adolescent’s quality of life and provide a sense of normalcy.
Choice D reason: Rocking an infant who was admitted for croup is a safe task for a volunteer. Croup is a respiratory condition characterized by a barking cough, often caused by a viral infection. While it can be contagious, the risk of transmission can be minimized with proper hygiene practices. Volunteers can provide comfort and soothing to infants with croup under the supervision of healthcare staff.
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.
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