Chapter 13: NURS 340 Preparation For The Nclex Questions and Answers ,100% CORRECT
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Chapter 13: NURS 340
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Chapter 13: NURS 340
Chapter 13: NURS 340 Preparation For The Nclex Questions and Answers
Test Bank Origin: Chapter 13, 1
1. The nurse caring for a 6-year-old patient enters the room to administer an oral medication in the form of a pill. The dad at the bedside looks at the pill and tells the nurse that his daught...
chapter 13 nurs 340 preparation for the nclex questions and answers
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Chapter 13: NURS 340 Preparation For The Nclex Questions and
Answers
Test Bank Origin: Chapter 13, 1
1. The nurse caring for a 6-year-old patient enters the room to administer an
oral medication in the form of a pill. The dad at the bedside looks at the pill
and tells the nurse that his daughter has a hard time swallowing pills. Which
of the following is the best response by the nurse?
A) Ask the child to try swallowing the pill and offer a choice of drinks to
take with it.
B) Crush the pill and add it to applesauce.
C) Request that the physician prescribe the medication in liquid form.
D) Call the pharmacy and ask if the pill can be
crushed. Ans: D
Feedback:
The father is the best source of knowledge on medication administration for
the child. The pharmacy should be called to determine if the pill might be
crushed. Asking the child to try swallowing the pill disregards the
information the father has just given. Requesting that the physician order the
medication in liquid form is not necessary at this point.
Origin: Chapter 13, 2
2. The nurse is administering acetaminophen PRN to a 9-year-old child on
the pediatric ward of the hospital. Which answers reflect nursing actions
that follow the rules of the 'eight rights' of pediatric medication
administration? Select all that apply.
A) The nurse identifies the child by checking the name on the child's chart.
B) The nurse makes sure the medication is given within the hour of the
ordered time.
C) The nurse checks the documented time of the last dosage administered.
D) The nurse calculates the dosage according to the child's weight.
E) The nurse explains the therapeutic effects of the medication to
the child and parents.
F) The nurse administers the medication even though the child is adamant
about not
taking it.
Ans: C, D, E
Feedback:
Following the 'right patient' rule, the nurse checks the documented time of
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, the last dosage administered. For the 'right dose,' the nurse calculates the
dosage according to the child's weight. For the 'right to be educated,' the
nurse explains the therapeutic effects of the medication to the child and
parents. To ensure the 'right patient,' the nurse confirms the child's identity
and then checks with the caregivers for further identification. To administer
at the 'right time,' the nurse gives the medication within 20 to 30 minutes of
the ordered time, and to protect the child's 'right to refuse,' the nurse
respects the child's or parents' option to refuse.
Origin: Chapter 13, 3
3. The nurse is teaching the student nurse the factors that affect the
pharmacodynamics of
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, the drugs they are administering. What is a factor affecting this property of
drugs?
A) Immature body systems
B) Weight
C) Body surface
D) Body composition
Ans: A
Feedback:
Although a drug's mechanism of action is the same in any individual, the
physiologic immaturity of some body systems in a child can affect a drug's
pharmacodynamics (behavior of the medication at the cellular level). The
child's age, weight, body surface area, and body composition also can affect
the drug's pharmacokinetics (movement of drugs throughout the body via
absorption, distribution, metabolism, and excretion).
Origin: Chapter 13, 4
4. When describing the differences affecting the pharmacokinetics of drugs
administered to children, which would the nurse include?
A) Oral drugs are absorbed more quickly in children than adults.
B) Absorption of intramuscularly administered drugs is fairly constant.
C) Topical drugs are absorbed more quickly in young children than adults.
D) Absorption of drugs administered by subcutaneous injection is
increased. Ans: C
Feedback:
Topical absorption of drugs is increased in infants and young children
because the stratum corneum is thinner and well hydrated. The absorption
of oral drugs is slowed by slower gastric emptying, increased intestinal
motility, a proportionately larger small intestine surface area, high gastric
pH, and decreased lipase and amylase secretion. The absorption of drugs
given intramuscularly or subcutaneously is erratic and may be decreased.
Origin: Chapter 13, 5
5. The nurse is providing teaching for the mother of an infant who receives
all of his nutrition through a tube. The nurse is reviewing interventions
to promote growth and development. Which response from the mother
indicates a need for further teaching?
A) "I will give him a pacifier during feeding time."
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