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 B
Explanation
A. "His average daily intake should be about 3,000 calories.": This statement is incorrect because the average daily calorie intake for a toddler is much lower, typically ranging from 1,000 to 1,400 calories, depending on factors such as age, weight, and activity level.
B. "The quality of food I provide him is more important than the quantity.": This statement reflects an understanding of the importance of nutrient-dense foods in a toddler's diet rather than focusing solely on the quantity of calories consumed.
C. "Because he is such a picky eater, I will give him one of my vitamins each day.": While offering a vitamin supplement may seem like a solution to address nutritional gaps, it's important for toddlers to receive essential nutrients from a variety of foods rather than relying solely on supplements.
D. "I should expect him to have an increased appetite.": While toddlers may experience fluctuations in appetite, expecting a consistently increased appetite may not be accurate or indicative of healthy eating habits.
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