Question

A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?

Answer 1

Correct Answers:

"It your baby vomits a dose, do not repeat the dose to ensure that the correct amount is received."

Rationale :

💊Digoxin has a narrow therapeutic index, meaning that even small variations in dose can lead to toxicity.

⚠️If a child vomits after taking digoxin, repeating the dose might cause an accidental overdose.

👶Caregivers should instead wait for the next scheduled dose and monitor for signs of toxicity, such as bradycardia, nausea, or lethargy.

📚Proper education on missed or vomited doses is crucial to maintain safe medication practices in pediatrics.

📌Core Message

Digoxin, vomiting, and overdose risk require careful caregiver instruction.

Answer 2

Correct Answers:

Administer analgesics on a schedule.

Rationale :

💉Scheduled analgesic administration helps maintain consistent pain control and prevents the child from experiencing unnecessary discomfort.

😖Pain after a tonsillectomy can cause children to avoid fluids, increasing the risk of dehydration.

🕓By giving medications regularly, pain is controlled before it escalates, improving overall recovery.

📅PRN (as-needed) dosing is less effective in children who may not accurately communicate pain.

📌Core Message

Scheduled analgesics promote pain control and prevent fluid refusal.

Answer 3

Correct Answers:

Pull the pinna downward and straight back.

Rationale :

👂In infants under 3 years old, the ear canal is shorter and straighter, so the pinna must be pulled down and back to straighten it.

💧This positioning allows the otic medication to reach the tympanic membrane effectively.

❌Hyperextending the neck or holding the infant upright is not standard for administering ear drops.

📌Using room temperature solutions is also important to avoid dizziness or discomfort, but the technique of pulling the pinna is the key step.

📌Core Message

Proper ear drop technique includes pulling the pinna down and back in infants.

Answer 4

Correct Answers:

Calculate the safe dosage.
Identify the toddler by asking the caregiver.
Ask the toddler to pick a toy to hold during administration.

Rationale :

🧮Calculating the safe dosage is essential to ensure that the child receives an amount appropriate for their weight and age, preventing toxicity or ineffectiveness.

🧾Identifying the toddler by confirming with the caregiver supports patient safety and aligns with proper medication administration protocols.

🧸Allowing the toddler to choose a toy provides a sense of control and distraction, promoting atraumatic care and reducing anxiety.

❌Allowing the caregiver to give the medication or adding it to juice may compromise dose accuracy or medication integrity.

📌Core Message

Use safe dosing, confirm identity, and apply atraumatic care techniques.

Answer 5

Correct Answers:

Perform a tape test.

Rationale :

🧫The tape test is the preferred diagnostic tool for Enterobius vermicularis (pinworm infection) because it captures eggs from the perianal area in the early morning.

🔬The sample is viewed under a microscope to confirm the presence of pinworm ova, which are not reliably detected in stool cultures.

🧻This non-invasive method is specific to the life cycle of the parasite, which lays eggs around the anus.

❌Stool culture or occult blood tests are not suitable for detecting pinworm infection.

📌Core Message

A tape test is the standard diagnostic for pinworm infection.

Answer 6

Correct Answers:

Develop a professional support system.
Take time off from work.
Remain in contact with the family after their loss.

Rationale :

🤝Establishing a professional support system helps nurses manage the emotional demands of caring for terminally ill children.

🛌Taking time off allows for emotional recovery, which is vital in preventing compassion fatigue and burnout.

📞Maintaining contact with families after a child’s death supports therapeutic continuity and closure for both nurse and family.

❌Attending funerals or expressing strong sympathy inappropriately may cross professional boundaries.

📌Core Message

Build a support system, take mental health breaks, and maintain compassionate boundaries.

Answer 7

Correct Answers:

"Oseltamivir should be given within 48 hours of onset of symptoms."

Rationale :

💊Oseltamivir (Tamiflu) is most effective when administered within the first 48 hours of flu symptom onset, reducing severity and duration.

📈It works by inhibiting viral replication before the virus spreads extensively.

📅Delays beyond this window decrease its clinical benefit, especially in pediatric clients.

❌Zanamivir is for older children, and amantadine is no longer recommended due to resistance.

📌Core Message

Oseltamivir must be given within 48 hours for effective influenza management.

Answer 8

Correct Answers:

Place the child in an upright position.
Administer bronchodilators.
Monitor oxygen saturation.

Rationale :

🪑Positioning the child upright enhances lung expansion and ease of breathing, especially during an asthma attack.

💨Bronchodilators are frontline medications to relieve bronchospasm and improve airway patency.

📊Monitoring oxygen saturation provides continuous feedback on respiratory effectiveness and guides further interventions.

❌Chest percussion and dornase alfa are therapies specific to cystic fibrosis, not asthma.

📌Core Message

Support breathing with positioning, bronchodilators, and O2 monitoring in asthma.

Answer 9

Correct Answers:

Empty the bladder completely with each void.
Wear cotton underpants.
Wipe the perineal area from front to back.
Avoid bubble baths.
Watch for manifestations of infection.

Rationale :

🚽Emptying the bladder completely reduces the chance of bacterial growth and urinary stasis.

🩲Cotton underpants help keep the area dry and reduce bacterial colonization.

🧻Front-to-back wiping prevents fecal bacteria from entering the urethra.

🛁Avoiding bubble baths prevents irritation and urethral inflammation, which predispose to infection.

🔍Monitoring for infection ensures early detection and treatment, minimizing complications.

📌Core Message

Good hygiene, clothing, and elimination practices help prevent UTIs.

Answer 10

Correct Answers:

Initiate oral rehydration therapy.

Rationale :

💧Oral rehydration therapy (ORT) is the gold standard for treating mild to moderate dehydration due to diarrhea in children.

🥤ORT solutions contain balanced electrolytes and fluids that replace losses without the need for IV therapy.

❌Chicken broth and hypertonic solutions are not appropriate due to imbalanced sodium content and potential for worsening dehydration.

🚫NPO status should be avoided unless there is vomiting or severe dehydration, which is not indicated in this case.

📌Core Message

ORT is the first-line treatment for pediatric dehydration due to diarrhea.

1 :
A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?

2 :
A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take?

3 :
A nurse is caring for an infant who needs Otic medication. Which of the following is an appropriate action for the nurse to take?

4 :
A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply)

5 :
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

6 :
A nurse often cares for children who are dying. Which of the following actions should the nurse take to maintain professional effectiveness? (Select all that apply)

7 :
A nurse is teaching a group of guardians about influenza. Which of the following information should the nurse include in the teaching?

8 :
A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

9 :
A nurse is teaching a parent of a child who has a urinary tract infection (UTI). Which of the following should the nurse include in the teaching? (Select all that apply.)

10 :
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?

1 : A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?

2 : A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take?

3 : A nurse is caring for an infant who needs Otic medication. Which of the following is an appropriate action for the nurse to take?

4 : A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply)

5 : A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

6 : A nurse often cares for children who are dying. Which of the following actions should the nurse take to maintain professional effectiveness? (Select all that apply)

7 : A nurse is teaching a group of guardians about influenza. Which of the following information should the nurse include in the teaching?

8 : A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

9 : A nurse is teaching a parent of a child who has a urinary tract infection (UTI). Which of the following should the nurse include in the teaching? (Select all that apply.)

10 : A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?

1 :
A nurse is providing teaching to the caregiver of an infant who has a prescription for digoxin. Which of the following instructions should the nurse include?

2 :
A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the following actions should the nurse take?

3 :
A nurse is caring for an infant who needs Otic medication. Which of the following is an appropriate action for the nurse to take?

4 :
A nurse is preparing to administer medication to a toddler. Which of the following actions should the nurse take? (Select all that apply)

5 :
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

6 :
A nurse often cares for children who are dying. Which of the following actions should the nurse take to maintain professional effectiveness? (Select all that apply)

7 :
A nurse is teaching a group of guardians about influenza. Which of the following information should the nurse include in the teaching?

8 :
A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

9 :
A nurse is teaching a parent of a child who has a urinary tract infection (UTI). Which of the following should the nurse include in the teaching? (Select all that apply.)

10 :
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?