©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU 410 exam 2 Study Guide with
Complete Solutions
eight rights of pediatric medication - Ans:✔✔-- Right medication
- Right patient
- Right time
- Right route of administration
- Right dose
- Right documentation
- Right to be educated
- Right to refuse
oral medication absorption in children - Ans:✔✔-lower gastric emptying, increased intestinal motility, a
proportionately larger small intestine surface area, higher gastric pH, and decreased lipase and amylase
secretion compared with adults
Page 1/63
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
IM medication absorption in children - Ans:✔✔-decreased due to smaller muscle mass, muscle tone
subQ medication absorption in children - Ans:✔✔-decreased
topical absorption of medications - Ans:✔✔-increased due to greater body surface area and greater
permeability of infant's skin
Developmentally Appropriate Explanations for Medications for Children - Ans:✔✔-- Why the drug is
needed
- What the child will experience
- What is expected of the child
- How the parents can participate and support their child
- share information before during and after procedures
Determining Children's Doses by Body Weight - Ans:✔✔-- Weigh the child.
- Check a drug reference for the safe dose range (e.g., 10 to 20 mg/kg of body weight).
- Calculate the low safe dose.
- Calculate the high safe dose.
- Determine if the dose ordered is within this range.
Page 2/63
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
oral medications for children - Ans:✔✔-Direct to posterior
Allow time to swallow
Elevate at least 45 degrees
Tell child med is in Food. Don't Put in a Bottle!
NO forcing
No pinching nose (unless child wants to pinch their own nose)
Mom can blow in child's face. However, not the RN
rectal administration in children - Ans:✔✔-- Not a preferred route due to erratic & unpredictable
absorption; invasive method of administration
- vomiting or NPO
- Use age-appropriate explanations & reassurance
- Lubricate suppository, have child in side-lying position
- Insert above anal sphincter - use 5th finger for child less than 3 years; use index finger for older child
- Hold buttocks together for several minutes
Page 3/63
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- If child has bowel movement within 30 min after administration, observe stool for suppository, notify
physician if observed to see if sup should be re-admin
Ophthalmic Administration - Ans:✔✔-Supine, hyper-extended neck, heel of hand on forehead, Wear
gloves, place in the conjunctival sac
ear medication administration - Ans:✔✔-Pinna up & back if over 3 years
Pinna down & back if less than 3 years
nasal drop administration - Ans:✔✔-Remain hyperextended 1 min
IM med admin - Ans:✔✔-Vastus lateralis -preferred for peds patients
Ventrogluteal - Must have been walking for at least one year. Some research says school age
Deltoid - Used as site in children older than 3 or with enough muscle mass
Dorsogluteal - Not recommended anymore
Subcutaneous administration - Ans:✔✔-- Distributes medication into the fatty layers of the body
- Insulin administration, heparin, and certain immunizations, such as MMR
intradermal administration - Ans:✔✔-- Deposits medication just under the epidermis
Page 4/63
FIRST PUBLISH OCTOBER 2024
NU 410 exam 2 Study Guide with
Complete Solutions
eight rights of pediatric medication - Ans:✔✔-- Right medication
- Right patient
- Right time
- Right route of administration
- Right dose
- Right documentation
- Right to be educated
- Right to refuse
oral medication absorption in children - Ans:✔✔-lower gastric emptying, increased intestinal motility, a
proportionately larger small intestine surface area, higher gastric pH, and decreased lipase and amylase
secretion compared with adults
Page 1/63
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
IM medication absorption in children - Ans:✔✔-decreased due to smaller muscle mass, muscle tone
subQ medication absorption in children - Ans:✔✔-decreased
topical absorption of medications - Ans:✔✔-increased due to greater body surface area and greater
permeability of infant's skin
Developmentally Appropriate Explanations for Medications for Children - Ans:✔✔-- Why the drug is
needed
- What the child will experience
- What is expected of the child
- How the parents can participate and support their child
- share information before during and after procedures
Determining Children's Doses by Body Weight - Ans:✔✔-- Weigh the child.
- Check a drug reference for the safe dose range (e.g., 10 to 20 mg/kg of body weight).
- Calculate the low safe dose.
- Calculate the high safe dose.
- Determine if the dose ordered is within this range.
Page 2/63
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
oral medications for children - Ans:✔✔-Direct to posterior
Allow time to swallow
Elevate at least 45 degrees
Tell child med is in Food. Don't Put in a Bottle!
NO forcing
No pinching nose (unless child wants to pinch their own nose)
Mom can blow in child's face. However, not the RN
rectal administration in children - Ans:✔✔-- Not a preferred route due to erratic & unpredictable
absorption; invasive method of administration
- vomiting or NPO
- Use age-appropriate explanations & reassurance
- Lubricate suppository, have child in side-lying position
- Insert above anal sphincter - use 5th finger for child less than 3 years; use index finger for older child
- Hold buttocks together for several minutes
Page 3/63
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- If child has bowel movement within 30 min after administration, observe stool for suppository, notify
physician if observed to see if sup should be re-admin
Ophthalmic Administration - Ans:✔✔-Supine, hyper-extended neck, heel of hand on forehead, Wear
gloves, place in the conjunctival sac
ear medication administration - Ans:✔✔-Pinna up & back if over 3 years
Pinna down & back if less than 3 years
nasal drop administration - Ans:✔✔-Remain hyperextended 1 min
IM med admin - Ans:✔✔-Vastus lateralis -preferred for peds patients
Ventrogluteal - Must have been walking for at least one year. Some research says school age
Deltoid - Used as site in children older than 3 or with enough muscle mass
Dorsogluteal - Not recommended anymore
Subcutaneous administration - Ans:✔✔-- Distributes medication into the fatty layers of the body
- Insulin administration, heparin, and certain immunizations, such as MMR
intradermal administration - Ans:✔✔-- Deposits medication just under the epidermis
Page 4/63
