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

Inserts medication in the buccal cavity.

Wraps infant in a blanket.

Positions infant in a supine position.

Administers medication with an oral syringe.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Inserting medication in the buccal cavity is an appropriate method for administering oral medication to an infant. The buccal cavity is the area between the cheek and gums, and medication placed here is absorbed directly into the bloodstream.

Choice B rationale

Wrapping the infant in a blanket can provide comfort and security during medication administration, making it easier for both the parent and the infant.

Choice C rationale

Positioning the infant in a supine position during oral medication administration is not safe. This position increases the risk of aspiration, which can lead to choking.

Choice D rationale

Administering medication with an oral syringe is an appropriate method for giving oral medication to an infant. It allows for accurate dosing and can be directed towards the cheek to prevent choking.

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Correct Answer is D

Explanation

Choice A rationale

Removing elbow restraints while the infant is sleeping is not a recommended intervention following cleft palate repair. Elbow restraints are used to prevent the infant from touching the surgical site and potentially causing injury or infection. Therefore, they should not be removed while the infant is sleeping.

Choice B rationale

Keeping the infant in a side-lying position is not a specific recommended intervention following cleft palate repair. The position of the infant following surgery will depend on various factors, including the infant’s comfort and the surgeon’s instructions.

Choice C rationale

Feeding the infant half-strength formula for the first 48 hours is not a specific recommended intervention following cleft palate repair. The infant’s feeding regimen following surgery will depend on various factors, including the infant’s age, weight, and overall health, as well as the surgeon’s instructions.

Choice D rationale

Administering pain medication PRN (as needed) for the first 48 hours is a recommended intervention following cleft palate repair. Pain management is an important part of postoperative care, and appropriate pain medication can help ensure the infant’s comfort and promote healing.

A. “My baby will be placed under special lights if the test is elevated.”. B. “Sometimes the test is repeated in the doctor’s office at the 2-week check-up.”. C. “My baby must take formula or breast milk before the test is done.”. D. “This test checks for a genetic disorder that can be corrected by diet.”.

Correct Answer is A

Explanation

Choice A rationale

The statement “My baby will be placed under special lights if the test is elevated” indicates a need for further teaching. This statement is incorrect because phototherapy (special lights) is not used to treat phenylketonuria (PKU). PKU is a genetic disorder that results in the body’s inability to metabolize the amino acid phenylalanine. If left untreated, it can lead to intellectual disability and other serious health problems. The treatment for PKU involves a special diet that is low in phenylalanine. Therefore, the parent’s statement about using special lights for treatment indicates a misunderstanding about the nature of PKU and its treatment.

Choice B rationale

The statement “Sometimes the test is repeated in the doctor’s office at the 2-week check-up” is correct. PKU is usually diagnosed through a routine newborn screening test, and if the initial test results are positive or unclear, the test may be repeated.

Choice C rationale

The statement “My baby must take formula or breast milk before the test is done” is correct. For accurate results, the PKU test is done after the baby is 24 hours old and after the baby has had some protein in the diet.

Choice D rationale

The statement “This test checks for a genetic disorder that can be corrected by diet” is correct. PKU is a genetic disorder that can be managed with a special diet low in phenylalanine.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a 2-month-old infant who has just undergone cleft palate repair.Which of the following interventions should the nurse contribute to the client’s plan of care?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn.Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is A

Explanation

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