1. F_Metabolism of medication in children is identical to that in adults.
2 . _T_Infants and young children are at increased risk for fluid volume overload as
compared with adults.
3. _F_Medication administration via the rectal route is steady and predictable.
4. _T_TPN solutions can cause hyperglycemia if given too rapidly.
5. _F_The scalp vein is the preferred site for peripheral intravenous therapy in
infants less than 9-months-old.
Fill-in-the-Blank
6. Total __ parenteral _ nutrition is the administration of a highly concentrated
solution of carbohydrates, protein, electrolytes, vitamins, and minerals with a
fat emulsion to meet all of the child’s nutritional needs.
7. _ Pharmacokinetics _ is movement of drugs through the body via
absorption, distribution, metabolism, and excretion.
8. _ Infiltration _ is the inadvertent infusion of a nonirritant solution or medication
into the surrounding tissue.
9. During tube feedings in bed, the head of the bed should be elevated at least _30
(thirty) _ degrees to help prevent vomiting.
10. Selection of the needle size and gauge is based on the size of the _child’s
muscle_.
11. The nurse is beginning a 12-hour shift on the medical/surgical unit of
the local children’s hospital. He has four patients assigned to him: a 6-month-
old infant boy, a 4-year-old preschool girl, a 7-year-old girl, and a 12-year-old
girl. The nurse has assessed each child and is referring to the electronic
medication administration record (EMAR) for each patient’s medications.
A. What are some of the factors the nurse should consider regarding the
distribution of medication in children’s bodies?
Medication distribution in children is affected by:
a. Higher percentage of body water than adults
b. More rapid extracellular fluid exchange
c. Decreased body fat
d. Liver immaturity, altering first-pass elimination
e. Decreased amounts of plasma proteins available for drug binding
f. Immature blood–brain barrier, especially neonates, allowing
permeation by certain medications
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