Chapter 38: Nursing Care of a Family when a Child Needs Medication Admin

istration or Intravenous Therapy

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A neonate is to receive a hepatitis B vaccine within a few hours
Administer the medication in the neonate's vastus lateralis with a
after birth. What is the best approach for the nurse to take when
25-gauge needle.
giving this medication?
The nurse is preparing to administer an IV antibiotic to a child.
After calculating the recommended dose with the child's weight,
the nurse discovers the prescribed dose exceeds the safe dose
Verify the dose with the prescribing health care provider.
range in a pediatric drug book. The medication has been given to
the child at this dose for 3 days. What action should the nurse take
next?
The nurse at a camp for children with asthma is teaching these
children about the medications they are taking and how to properly
take them. The nurse recognizes that many medications used Using a nebulizer
on a daily basis for the treatment of asthma are given by which
method?
In caring for the child with asthma, the nurse recognizes that bron-
chodilator medications are administered to children with asthma Relief of acute symptoms
for which reason?
The nurse has been caring for a 12-year-old boy during his 5-day
hospitalization. The child's IV has infiltrated, and the care provider
"The client is left-handed and likes to draw; an IV site in his right
is getting ready to change the intravenous line site. Which state-
arm would be best."
ment made by the nurse would be appropriate in supporting the
child?
The nurse is instructing a parent on administering ear drops to a
The parent has the child sit down and pulls the pinna upward and
6-year-old. Which parental action demonstrates an understanding
back
of teaching?
The child's developmental level
A nurse is assigned to a pediatric unit for an 8 hour shift. When
The child's weight
administering medications to a pediatric patient rather than an
The child's developing body systems
adult, which does the nurse consider? (Select all that apply.)
The child's smaller size
A nurse knows that a child's metabolism is faster than an adult's
and, therefore, certain medications for children need to be admin- More frequently
istered in which way?
A nursing instructor is teaching students about intravenous (IV)
fluid administration to infants and children. Which type of fluid does
Isotonic
the nurse say must be administered to children and infants to
prevent water intoxication?
A nurse is caring for a child who requires intravenous maintenance
fluid. The child weighs 30 kg. Calculate the child's daily mainte-
1700
nance fluid requirement in milliliters. Record your answer using a
whole number.
The nurse has administered a medication to a child. When doc-
umenting the dosage given, the nurse realizes that an incorrect
dose has been administered. The nurse has taken the child's vital
Follow the facility policy regarding medication errors.
signs, and they are within normal range. The child does not appear
to be in any distress and is acting normally. Which of the following
would be the next action for the nurse to take?
An order for an intramuscular medication has been ordered for
Take him to a separate treatment room to give him his injection.
a 4-year-old. The nurse finds the child in the playroom with his
Praise his cooperation even if he cries. Take him back to the
caregiver. Which action by the nurse would be the best procedure
playroom. Complete all required documentation.
to follow when administering this medication?
The nurse is preparing to administer regular insulin to a child
following lunch. Which finding will cause the nurse to question The client received insulin aspart 2 hours ago.
administering the medication?
A child with HIV, weighing 25 kg (55.1 lbs), is about to receive an
200 mL
infusion of IVIG. The recommended dose is 400 mg/kg/dose. The
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 Chapter 38: Nursing Care of a Family when a Child Needs Medication Admin
istration or Intravenous Therapy
Study online at https://quizlet.com/_8xnplj
medication is available in a concentration of 50 mg/mL. What is
the proper amount of infusion that the child will receive?
A nursing student is administering medications to her client, Tom-
The student asks the client if he is Tommy before giving the
my, on a pediatric floor. What action by the student demonstrates
medication.
a need for further instruction?
The nursing student identifies which technique as the correct one Use a dropper and slowly inject the liquid into the side of the
to use when giving oral medications to an infant? infant's mouth.
A 12-month-old child weighing 11 lb has an order for gentamycin
sulfate 13 mg IM q 36 hour. The pharmacy has 20 mg/2 mL on
1.3 mL; vastus lateralis
hand. How may milliliters would the infant receive, and what is the
best site for the injection?
The new graduate nurse is preparing to administer medication to a
4-year-old client. When would it be appropriate for the supervising had two whole tablets to administer to the child.
nurse to intervene? The new graduate:
Explain the procedure to the child.
A nurse is preparing to start an IV for a 3-year-old child. Which
Take the child to the treatment room.
nursing actions are appropriate for a child this age? Select all that
Have another nurse hold the child still.
apply.
Give the child a sticker when finished.
The nurse is teaching parents of a 12-year-old child how to ad-
"I will pull the outer ear down and back before administering the
minister otic medication. Which statement by the parent indicates
medication."
a need for further education?
When administering medications to an infant, what information The oral medication should be directed toward the posterior side
would be most important for the nurse to consider? of the mouth when using a syringe or dropper.
The nurse is administering a liquid medication to a 3-year-old Allow the child time to swallow the medication in between
using an oral syringe. Which action would be most appropriate? amounts.
A nurse who provides care on a pediatric unit of a hospital is
aware that the potential for harm as a result of drug errors is higher
Immature liver and kidney function in infants and children.
among infants and children than adults. This fact is primarily due
to
A child who weighs 22 lb (10 kg) is to receive a blood transfusion.
How many milliliters of blood should the nurse expect to transfuse 100
in an hour?
Before giving an injection to a young child, the nurse would make
"You can yell or scream when the needle is inserted if you want."
which of the following statements about the pain the child will feel?
The nurse is caring for a preschooler who has become dehydrated
due to an intestinal virus. Which approach to replace the fluid loss Oral rehydration
is initially anticipated?
The nurse educator is teaching the class of nurses about infusion
"No special pumps are needed for the pediatric patient; I can use
control in children. The nurse knows that more education is need-
the same one that we use with adult patients."
ed when the student nurse states:
To maintain fluid and electrolyte balance
What is a fundamental rationale for the administration of intra-
To have access to the intravenous route for testing
venous therapy? Select all that apply.
Medications and nutrients can be infused through the line.
The charge nurse is assisting the new graduate nurse in adminis-
tering eye drops to a child. The charge nurse would stop the new holds the eyelids apart for about 30 seconds
graduate if which action was observed?
A child is receiving intravenous fluids for dehydration. The nurse
notes coarse breath sounds and increased pulse and blood pres- Discontinue the IV infusion.
sure. What does the nurse do first?
Using the West nomogram scale, the nurse needs to calculate the
Use the scale to locate the child's height and weight. Use a straight
safe dosage of a medication for a child. The child is 50 inches tall
edge to align these numbers with the scale indicating the surface
and weighs 76 lb. The normal dosage of the medication for an
area, divide that by the average adult body surface area, and
adult is 300 mg. Which of the following is the correct way to use
multiply the resulting number by the adult dose.
the West nomogram scale?
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 Chapter 38: Nursing Care of a Family when a Child Needs Medication Admin
istration or Intravenous Therapy
Study online at https://quizlet.com/_8xnplj
A 6-month-old child has developed skin irritation due to an allergic
reaction. He has been prescribed a topical skin ointment. The
That the infant's skin has greater permeability than that of an adult
nurse will consider which of the following before administering the
drug?
The clinical nurse educator who oversees the emergency de-
partment in a children's hospital has launched an awareness
Having nurses check their math calculations with a colleague
program aimed at reducing drug errors. What measure addresses
before administering a drug
the most common cause of incorrect doses in the care of infants
and children?
A toddler is prescribed amoxicillin for bilateral otitis media. The
"I will shake the medication well, and draw up the medication to
parent reports that the toddler refuses to take the oral medication.
the top of the syringe. My spouse and I will hold our toddelr down
The nurse knows that more education is needed when the parent
and force the medication down his throat."
makes which statement?
The nurse is determining a pediatric dosage of medication using
the West nomogram for estimating body surface area (BSA). Use the client's height and weight
Which two known factors are on the left and the right scales?
The nurse is caring for a pediatric client who requires vitamins,
minerals, lipids and amino acids through the circulatory system
Central venous catheter infusions
instead of the gastrointestinal tract. Which type of intravenous
therapy is anticipated for long-term therapy?
A child with gastroenteritis has been unable to keep oral medica-
tion down. What nursing intervention would be appropriate for this Request an intravenous form of the medication.
client?
A child is prescribed multiple intravenous medications. Which
nursing action demonstrates the best practice to maintain med- Flush the intravenous line between each medication.
ication safety?
A health care provider has prescribed hydroxyurea 20 mg/kg to a
child as part of a treatment regimen for sickle cell disease. The
244
child weighs 27 lb (12.2 kg). How many milligrams should the
nurse administer?
A health care provider has prescribed hydroxyurea 650 mg for a
child diagnosed with sickle cell anemia. The child weighs 65 lb
Contact the health care provider to lower the dose.
(29.5 kg). The normal recommended dose is 20 mg/kg/day. What
action should the nurse take?

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