A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe.
Which of the following actions should the nurse take?
Mix the medication with 10 mL of formula.
Measure the elixir in a medicine cup before transferring to a syringe.
Position the syringe to the side of the infant’s tongue.
Place the infant supine in a crib prior to administration.
The Correct Answer is C
The correct answer is C. When administering an oral elixir to a 3-month-old infant using an oral medication syringe, the nurse should position the syringe to the side of the infant’s tongue. This prevents the medication from being administered too quickly and reduces the risk of choking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This response is inappropriate and unprofessional. It makes an assumption about the child’s behavior at home without any evidence. It also could make the parents feel blamed or judged, which is not conducive to a supportive healthcare environment.
Choice B rationale
While it’s important for the nurse to communicate with the provider about any changes in the child’s health status, this response does not directly address the parents’ concern. It also does not provide reassurance or information about why the bedwetting might be occurring.
Choice C rationale
This response is empathetic and informative. It normalizes the child’s behavior by explaining that regression is common in hospitalized children. It also reassures the parents that the bedwetting is likely temporary and will improve as the child recovers.
Choice D rationale
While this response is empathetic, it does not directly address the parents’ concern about the bedwetting. It also personalizes the situation by bringing the nurse’s own children into the conversation, which is generally not recommended in professional healthcare communication.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.