Exam (elaborations)
PN 108 CHAPTER 31 EXAM QUESTIONS AND ANSWERS
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PN 108 CHAPTER 31 EXAM QUESTIONS AND ANSWERS...
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An infant is to receive a hepatitis B vaccine within a few hours after birth.What is the best approach for the nurse to take when giving this
medication? - ANSWER Administer the medication in the infant's
vastus lateralis with a 25-gauge needle.
The nurse is giving discharge instructions to the mother of a 3-month-old
infant. What is the best information to give the mother concerning oral
medication administration? - ANSWER Give the medication with a
syringe and direct the liquid toward the posterior side of the mouth while
holding the infant upright.
The nurse has prepared an IM injection to give a 13-year-old. After some
searching, the nurse locates the 13-year-old in the playroom in front of a
video game. Which action is the best one for the nurse to take? -
ANSWER Inform the child that it is time for an injection. Explain why the
injection is needed and have him move to the procedure room.
The nurse is caring for a 12-year-old post-appendectomy client who
weighs 86 pounds. The child has a temperature of 38.5 ºC (101.3 ºF).
The nurse prepares to give the client a dose of oral Tylenol. The order
reads "Tylenol 15mg/kg/dose every 4 to 6 hours PO PRN for fever or
pain." How many milligrams of Tylenol should the nurse give the client? -
ANSWER 587 milligrams
Which of the following is the most important reason for administering a
medication at the correct time? - ANSWER To maintain the desired
blood level of the medication.
If a medication is being administered by the otic route, it will be
administered in which way? - ANSWER Warmed to room temperature
and dropped into the ear
As the nurse prepares to administer a medication to a preschooler, she
realizes that the child is extremely underweight for her age. What action
, would the nurse take? - ANSWER Measure her height and weight, and
check whether the dose is correct for her.
A child has been admitted to the hospital with a systemic infection in the
blood. Which route will the nurse prepare for antibiotic administration for
this patient? - ANSWER Intravenous antibiotics
Parents question the necessity of moving their preschooler from her
room to another place to insert her IV line. The nurse explains: -
ANSWER The importance of avoiding unpleasant experiences in the
child's room and bed in order for both to remain safe places.
The nurse is preparing to administer a medication to a 5-year-old who
weighs 35 pounds. The prescribed single dose is 1 to 2 mg/kg/day.
Which is the appropriate dose range for this child? - ANSWER 16 to 32
mg
The nurse is caring for an 8-year-old girl who requires medication that is
only available in an enteric tablet form. The nurse is teaching the mother
how to help the girl swallow the medication. Which statement indicates a
need for further teaching? - ANSWER "I can pinch her nose to make it
easier to swallow."
The nurse is choosing a vein to insert a peripheral IV for a 2-year-old
child. Which of the following sites would be appropriate? Select all
answers that apply. - ANSWER Hand veins
Feet veins
Forearm veins
David, age 2, is diagnosed with stomach flu and is suffering from
vomiting and diarrhea. What is the most important factor in determining
the correct dosage for his infection? - ANSWER Body surface area
A nursing student is administering medications to her patient, Tommy,
on a pediatric floor. What action by the student demonstrates a need for
further instruction? - ANSWER The student asks the patient if he is
Tommy before giving the medication.
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