Deck 20: Drugs for the Pediatric Patient

Question 1

Match the medical terms to their definitions.

Answer 1

NO Answer

Question 2

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Infants rapidly metabolize and excrete drugs.

Answer 2

F

Question 3

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ When a drug is ordered outside the safe range of administration, you should contact the prescriber.

Answer 3

T

Question 4

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Always ask a child his or her name before giving a medication.

Question 5

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Never offer a carbonated beverage before or after administering a edication.

Question 6

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ A 25G needle should be used to administer an immunization to an infant.

Question 7

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Clogging of a nasogastric tube is a major disadvantage to giving medications by this route.

Question 8

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ When administering ear drops to a child under the age of 3 years, you should pull the pinna upward and backward.

Question 9

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Infants require smaller doses of medications than adults do.

Question 10

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Dehydration is a potential problem for children who are ill.

Question 11

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ Asking a parent the name of his or her child before administering a medication is the most reliable procedure to follow in medication administration.

Question 12

Place a T in the blank if the statement is true. Place an F in the blank if the statement is false.
_________ A medicine should be mixed with 1 teaspoon of cereal before it is administered to a child..

Question 13

Complete the following statements by filling in the blank.
The preferred route of medication administration for children who have poor absorption, diarrhea, vomiting, dehydration, or peripheral vascular collapse is _______________________

Question 14

Complete the following statements by filling in the blank.
Checking the dose of a medication is a shared responsibility between the _______________________ and _______________________.

Question 15

Complete the following statements by filling in the blank.
_______________________ is a serious concern when administering medications to a child who is extremely fussy or crying.

Question 16

Complete the following statements by filling in the blank.
Because a teaspoon is an inaccurate medication administration device, the teaspoon should be converted to _______________________.

Question 17

Complete the following statements by filling in the blank.
The preferred route of administration for iron is _______________________

Question 18

Complete the following statements by filling in the blank.
The gauge of the needle for injections other than immunizations to be used for toddlers is _______________________.

Question 19

Complete the following statements by filling in the blank.
The _______________________ side of the arm should be avoided when administering a subcutaneous or intradermal injection to a child because the skin is more sensitive.

Question 20

Complete the following statements by filling in the blank.
A _______________________ child cannot verbalize side effects of medications such as dizziness or ringing in the ears.

Question 21

Complete the following statements by filling in the blank.
To administer drops to a child, a _______________________ should be used.

Question 22

Complete the following statements by filling in the blank.
The route of medication administration that should never be used with a child who is at risk for aspiration is _______________________.

Question 23

Complete the following statements by filling in the blank.
The route of medication administration for giving an immunization to a child is _______________________.

Question 24

Drug Calculations
The physician orders a drug 10 mg/kg orally daily for a child weighing 27 kg. Available is a 50-mg/mL suspension. Prepare to administer _________ mL to the child.

Question 25

Drug Calculations
The physician orders a drug 3 mcg/kg intramuscularly bid for a child weighing 21.36 kg. Available is 50 mcg/mL. Prepare to administer _________ mL to the child.

Question 26

Drug Calculations
The physician orders a drug 200 mg orally qid for a child weighing 55 lbs. Available is 250 mg/5 mL. Prepare to administer _________ mL to the child.

Question 27

Drug Calculations
Calculate the body surface area for a child who is 75 cm tall and weighs 10.2 kg.

Question 28

Drug Calculations
Calculate the body surface area for a child who is 25 inches tall and weighs 10 lbs.

Question 29

Circle the correct letter.
Which of the following physiological alterations should you take into consideration when administering medications to a pediatric patient?

A) Infants and children require larger doses of medications than do adults.
B) The kidneys of pediatric patients dilute the drugs more, making effects weaker.
C) Pediatric liver enzyme systems are immature, making children more vulnerable to harmful effects of the drug.
D) Children have higher plasma concentrations of protein for binding of drugs.

Question 30

Circle the correct letter.
What is the most important critical safeguard for safely administering pediatric medications and preventing an unpredictable response to the drug?

A) Read the side effects of the drug.
B) Double-check the drug with another person.
C) Administer a smaller than prescribed dose.
D) Ask the child's name.

Question 31

Circle the correct letter.
What is the preferred route or form of medication for administering a drug to a pediatric patient?

A) Dissolved or suspended oral medications
B) Subcutaneous
C) Intramuscular
D) Intravenous

Question 32

Circle the correct letter.
Which of the following strategies should you use to enhance acceptance of giving an oral drug to a child?

A) Avoid carbonated beverages
B) Mix the medicine with cereal.
C) Pinch the nose and drink through a straw.
D) Avoid water immediately after giving the medicine.

Question 33

Circle the correct letter.
In preparing to administer a medication to a child, which of the following principles should you consider?

A) Medications that are irritating, such as iron, should be administered subcutaneously.
B) Avoid administering an oral medication in a flavored suspension.
C) A 1-mL syringe should be used to give a low-dose, small-volume drug.
D) Use the intravenous route in a child experiencing diarrhea and dehydration.

Question 34

Case Studies
A mother asks you what she can do to help her son take his medicine. What will you tell her to do? _________________________________________________________________________
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Question 35

Case Studies
An immunization has been ordered for a 2-month-old infant. At what location should you give this injection? What length and gauge of needle should you use? What is the maximum amount that may be given? ___________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Question 36

Critical Thinking
What can you do to enhance acceptance of an oral medication by a child who is fussy and doesn't want the medication?
___________________________________________________________________________________
___________________________________________________________________________________

Question 37

Critical Thinking
What should you tell a child to do when the child complains of an unpleasant taste and smell when taking a medication?
___________________________________________________________________________________
___________________________________________________________________________________

Question 38

Critical Thinking
How should you prevent cross-contamination between medications after crushing a tablet in a pill crusher?
___________________________________________________________________________________
___________________________________________________________________________________

Question 39

Critical Thinking
You have been assigned to administer digoxin and insulin to a child. What should you do before administering these drugs?
___________________________________________________________________________________
___________________________________________________________________________________

Question 40

Critical Thinking
Before you administer a drug by any route, what is the most reliable method you should use to verify the identity of the child?
___________________________________________________________________________________
___________________________________________________________________________________