The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the rights of pediatric medication administration? Select all that apply.

The nurse checks the documented time of the last dosage administered.

The nurse calculates the dosage according to the child's weight.

The nurse makes sure the medication is given within the hour of the ordered time.

The nurse explains the therapeutic effects of the medication to the child and parents. The nurse administers the medication even though the child is adamant about not taking it.

Answer and Explanation

Correct Answer : A,B

A. The nurse checks the documented time of the last dosage administereD. This action ensures that the medication is given at the appropriate frequency and prevents overdosing or underdosing.

B. The nurse calculates the dosage according to the child's weight: Pediatric medication dosages are often calculated based on the child's weight to ensure safe and effective administration.

C. The nurse makes sure the medication is given within the hour of the ordered timE. While

timely administration of medication is important, the specific time interval within which a PRN medication should be given may vary depending on the medication and the healthcare provider's orders. This statement does not necessarily reflect the rules of pediatric medication

administration.

D. The nurse explains the therapeutic effects of the medication to the child and parents. The nurse administers the medication even though the child is adamant about not taking it: Administering medication against the child's wishes without proper explanation or consent does not adhere to the principles of pediatric medication administration. It is important to provide education about the medication and involve the child and parents in the decision-making process whenever possible.

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Correct Answer is A

Explanation

A. Speak to the child using mature language and appeal to his or her desire for self-care. - School-age children are typically more independent and responsive to mature communication. Acknowledging their desire for self-care fosters cooperation during the examination process.

B. Include the child in all parts of the examination: speak to the caregiver before and after the examination. - While involving the child in the examination process is important, school-age children may prefer direct communication rather than primarily interacting with caregivers.

C. Keep up a running dialogue with the caregiver, explaining each step as you do it. - While

involving caregivers in the examination process is important, maintaining a dialogue primarily with them may not fully engage the child during the assessment.

D. Address the child by name; speak to the caregiver and do the most invasive parts last. - While considering the child's comfort and addressing them directly is essential, school-age children

may respond better to direct communication rather than deferring to caregivers for discussion

A. "Maintain a firm set of rules." B. Try to be open to his views." C. "Remind him that he is still your little boy." D. "Find out if his friends are worthy of him."

Correct Answer is B

Explanation

A. "Maintain a firm set of rules."

While having rules is important, maintaining a rigid approach without considering the adolescent's perspective can lead to conflict and resistance. Adolescents often appreciate having a voice and being heard.

B. Try to be open to his views."

This option acknowledges the importance of valuing the adolescent's opinions and perspectives. Encouraging open communication fosters trust and mutual respect between parents and their adolescent children.

C. "Remind him that he is still your little boy."

Using this approach may unintentionally undermine the adolescent's growing sense of

independence and identity. It's essential to recognize and respect their transition into young adulthood.

D. "Find out if his friends are worthy of him."

While it's important to be aware of the adolescent's social circle, framing it in terms of the

friends being "worthy" may come across as judgmental. It's more effective to focus on fostering healthy relationships and providing guidance on making positive social choices.

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The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the rights of pediatric medication administration? Select all that apply.

Nursing Test Bank

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The nurse is teaching the student nurse how to perform a physical assessment based on the child's developmental stage. Which statement accurately describes a recommended guideline for setting the tone of the examination for a school-age child?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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