Deck 38: Nursing Care of a Family When a Child Needs Medication Administration or Intravenous Therapy

Question 1

The nurse is admitting a 4-year-old child to the hospital for surgery. Before administering medicine, how should the nurse identify this child?

A) Read the child's arm band.
B) Ask the child to state his or her name.
C) Tell the child to state his or her nickname.
D) Say the child's name and see if the child answers.

Answer 1

Read the child's arm band.

Question 2

The nurse is planning to provide a preschool-age patient with an oral medication. Which approach should the nurse use to gain the child's cooperation?

A) Compare the taste of the medicine to a chocolate bar.
B) Offer to play a game with the child if the medicine is swallowed.
C) Ask the child if a cup or oral syringe is preferred to take the medicine.
D) Leave the medicine on the bedside stand; it can be taken independently.

Answer 2

Ask the child if a cup or oral syringe is preferred to take the medicine.

Question 3

Prior to providing a preschool-age child with a prescribed dose of medication, the nurse is concerned that the child is underweight. Which should the nurse do at this time?

A) Give the child the prescribed dose.
B) Give the child one half the ordered dose.
C) Call the child's physician and alert to the dosage error.
D) Measure the child's height and weight and check whether the dose is correct.

Answer 3

Measure the child's height and weight and check whether the dose is correct.

Question 4

Which technique should the nurse use to administer ear drops to a 4-year-old child?

A) Press the pinna of the ear forward.
B) Pull the pinna of the ear downward.
C) Pull the pinna of the ear up and back.
D) Lift the pinna of the ear down and back.

Question 5

The nurse is identifying diagnosis appropriate for a preschool-age child who began to cry after learning about needing intravenous fluid therapy. Which diagnosis should the nurse select to address this specific reaction?

A) Fear related to intravenous infusion
B) Discomfort related to intravenous infusion
C) Health-seeking behavior by the child related to the intravenous infusion
D) Deficient knowledge related to actions and effects of intravenous fluid therapy

Question 6

Which action should the nurse take to ensure an intravenous infusion will be administered safely to an infant?

A) Add a calibrated fluid chamber to the line.
B) Use a large-bore needle to prevent plugging.
C) Use a rolled pillowcase instead of a hard arm board.
D) Hang the infusion bag no higher than 4 ft above the infant's head.

Question 7

The nurse manager of an ambulatory well-child clinic is planning an evening lecture series for community family members that focus on the 2020 National Health Goals for safe medication administration. What topics should the nurse plan to include in this lecture series?

A) Storing insulin in the refrigerator
B) Avoiding alcohol use in adolescents
C) Safe medication storage in the home
D) Completing entire course of antibiotics as prescribed
E) Nonpharmacologic ways to reduce stress and anxiety

Question 8

While preparing to insert an intravenous access device into the arm of a school-age child, the child's mother ask if the device can be placed in the left hand so the child can do homework with the right hand. What should the nurse respond to the mother?

A) "Let's take a look at the left hand first."
B) "It's a doctor's decision to decide the best site."
C) "It would be better for him to wait and be surprised."
D) "I doubt it; most children have better veins on the right."

Question 9

A school-age child is prescribed to receive long-term intravenous antibiotics at home. Which intravenous access route should the nurse suggest as the best for this patient's needs?

A) A port in the left upper chest
B) A PICC line in an antecubital space
C) An intraosseous line in the left lower leg
D) A Hickman catheter in the right upper chest

Question 10

A toddler with pneumonia is prescribed intravenous fluids and antibiotics. Which type of intravenous fluid should the nurse expect to provide to this patient?

A) 0.9% normal saline
B) Dextrose 5% in 0.45% normal saline
C) Dextrose 10% in 0.9% normal saline
D) Dextrose 5% in 0.9% normal saline

Question 11

The nurse teaches the parents of a toddler with prescribed subcutaneous medications how to provide the medication. Which observation indicates that teaching has been effective?

A) Inserts the needle at a 90-degree angle
B) Inserts the needle into the gluteal muscle
C) Inserts the needle into the arm when the child is asleep
D) Inserts the needle into the lateral aspect of the vastus lateralis muscle

Question 12

The nurse is reviewing discharge instructions with the family of a child diagnosed with a urinary tract infection. What should the nurse teach the parents and child about the prescribed medication?

A) Complete the entire course of antibiotics ordered by the provider.
B) The child may choose to take the antibiotics or stop once symptoms subside.
C) As long as the child does not have a fever, the antibiotics can be stopped.
D) Save the remainder of antibiotics in case the child has another infection.

Question 13

A 6-year-old patient is prescribed to receive an oral antibiotic. What should the nurse do before giving the child this medication?

A) Check to see if the child can swallow pills.
B) Give the child a small glass of water to drink.
C) Give the child the medicine before the next meal.
D) Tell the child that the medicine can be given as an injection instead.

Question 14

A toddler is prescribed to receive 50 mg of an antibiotic. The medication available is 250 mg in 5 ml. How many milliliters of the medication should the nurse provide to the patient? (Enter numeric value only.)

Question 15

A school-age child is prescribed to receive 1,500 ml + 20 ml/kg for each additional kilogram over 20 kg of intravenous fluid over the next 24 hours. The child weighs 55 lb. How much intravenous fluid should the nurse provide the patient for an 8-hour shift? (Enter numeric value only. Round to the nearest whole number if applicable.)