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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.
B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.
C. "You have to keep repeating that his grandfather is never coming back.": Continually
repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.
D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.
Correct Answer is C
Explanation
A. The child performs his bedtime preparations autonomously: While autonomy is a key aspect of development, it doesn't directly align with Erikson's stage of industry versus inferiority, which focuses more on the child's sense of competence and mastery of tasks.
B. The child is developing a consciencE. Conscience development is more closely associated with Erikson's previous stage of initiative versus guilt, where children begin to internalize societal standards and expectations.
C. The child signs up for after-school activities: Engaging in after-school activities involves
actively seeking out opportunities for skill development and social interaction, demonstrating the child's initiative and industry.
D. The child becomes aware of the opposite sex: Awareness of gender differences typically
emerges during middle childhood but is not directly related to Erikson's stage of industry versus inferiority, which emphasizes the development of a sense of competence and productivity in
mastering tasks.
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