Ricci chapter 35 -Test Bank || 100% Verified Answers.
1.The nurse caring for a 6-year-old client 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. What 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 healthcare provider prescribe the medication in liquid
form.
D) Call the pharmacy and ask if the pill can be crushed. Correct 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 healthcare provider order the medication in liquid form is not
necessary at this point.
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 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. Correct Ans: C, D, E
Feedback:
Following the "right patient" rule, the nurse checks the documented time of 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 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.
3.The nurse is teaching the student nurse the factors that affect the
pharmacodynamics of the medications being administered. What is a factor affecting
this property of medication in children?
A) Immature body systems
B) Weight
, C) Body surface
D) Body composition Correct 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).
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. Correct 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.
5.The nurse is providing teaching for the mother of an infant who receives all of his
nutrition through a nasogastric feeding 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."
B) "We need to keep feeding time very quiet."
C) "We need to make sure he doesn't lose the desire to eat by mouth."
D) "Sucking produces saliva, which aids in digestion." Correct Ans: B
Feedback:
The nurse needs to emphasize that it is important to talk, play music, cuddle, and
rock the infant to promote a normalized feeding time. The other statements are
correct.
6.The nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. The safe dose
for children is 50 to 100 mg/kg/day divided in doses administered every 6 hours. What would be
the low single safe dose and high single safe dose per day for
this child?
A) 50 to 100 mg per dose
B) 100 to 500 mg per dose
C) 500 to 1,000 mg per dose
D) 1,000 to 5,000 mg per dose Correct Ans: C
Feedback:
1.The nurse caring for a 6-year-old client 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. What 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 healthcare provider prescribe the medication in liquid
form.
D) Call the pharmacy and ask if the pill can be crushed. Correct 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 healthcare provider order the medication in liquid form is not
necessary at this point.
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 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. Correct Ans: C, D, E
Feedback:
Following the "right patient" rule, the nurse checks the documented time of 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 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.
3.The nurse is teaching the student nurse the factors that affect the
pharmacodynamics of the medications being administered. What is a factor affecting
this property of medication in children?
A) Immature body systems
B) Weight
, C) Body surface
D) Body composition Correct 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).
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. Correct 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.
5.The nurse is providing teaching for the mother of an infant who receives all of his
nutrition through a nasogastric feeding 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."
B) "We need to keep feeding time very quiet."
C) "We need to make sure he doesn't lose the desire to eat by mouth."
D) "Sucking produces saliva, which aids in digestion." Correct Ans: B
Feedback:
The nurse needs to emphasize that it is important to talk, play music, cuddle, and
rock the infant to promote a normalized feeding time. The other statements are
correct.
6.The nurse is preparing to administer oral ampicillin to a child who weighs 40 kg. The safe dose
for children is 50 to 100 mg/kg/day divided in doses administered every 6 hours. What would be
the low single safe dose and high single safe dose per day for
this child?
A) 50 to 100 mg per dose
B) 100 to 500 mg per dose
C) 500 to 1,000 mg per dose
D) 1,000 to 5,000 mg per dose Correct Ans: C
Feedback:
