Question 1

Which factor should the nurse remember when administering topical medication to an infant as compared with an adolescent?

Accepted Answer

A)  Infants require a larger dosage because of a greater body surface area. 
B)  Infants have a thinner stratum corneum that absorbs more medication. 
C)  Infants have a smaller percentage of muscle mass. 
D)  The skin of infants is less sensitive to allergic reactions. 
A)  Infants require a larger dosage because of a greater body surface area. 
B)  Infants have a thinner stratum corneum that absorbs more medication. 
C)  Infants have a smaller percentage of muscle mass. 
D)  The skin of infants is less sensitive to allergic reactions.

Question 2

What parameter should guide the nurse when administering a subcutaneous injection to a school-age child with cellulitis?

Accepted Answer

A)  Do not to give injections in edematous areas. 
B)  Attach a clean 1-inch needle to the syringe. 
C)  The maximum volume injected into one site is 2 mL. 
D)  Do not pinch up tissue before inserting the needle. 
A)  Do not to give injections in edematous areas. 
B)  Attach a clean 1-inch needle to the syringe. 
C)  The maximum volume injected into one site is 2 mL. 
D)  Do not pinch up tissue before inserting the needle.

Question 3

Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?

Accepted Answer

A)  Deltoid 
B)  Ventrogluteal 
C)  Dorsogluteal 
D)  Vastus lateralis 
A)  Deltoid 
B)  Ventrogluteal 
C)  Dorsogluteal 
D)  Vastus lateralis

Question 4

What is the 24-hour maintenance fluid requirement for a child weighing 18.7 pounds?

Accepted Answer

850 mL
Calculate weight in kilograms: 18

Question 5

What action is correct when administering ear drops to a 2-year-old child?

Accepted Answer

A)  Administer the ear drops straight from the refrigerator. 
B)  Pull the pinna of the ear back and down. 
C)  Massage the pinna after administering the medication. 
D)  Pull the pinna of the ear back and up. 
A)  Administer the ear drops straight from the refrigerator. 
B)  Pull the pinna of the ear back and down. 
C)  Massage the pinna after administering the medication. 
D)  Pull the pinna of the ear back and up.

Question 6

A provider orders odansetron 0.15 mg/kg IV push for a child who weighs 15 pounds.How much medication does the nurse draw up?

Accepted Answer

1 mL
Calculate the weight in k

Exam 38: Medication Administration and Safety for Infants and Children

Which factor should the nurse remember when administering topical medication to an infant as compared with an adolescent?

What parameter should guide the nurse when administering a subcutaneous injection to a school-age child with cellulitis?

Which muscle should the nurse select to give a 6-month-old infant an intramuscular injection?

What is the 24-hour maintenance fluid requirement for a child weighing 18.7 pounds?

What action is correct when administering ear drops to a 2-year-old child?

A provider orders odansetron 0.15 mg/kg IV push for a child who weighs 15 pounds.How much medication does the nurse draw up?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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