I have several Pediatric Nursing questions that I need to have answered to fill out a form for Ped. Homecare employment. Are these right?
1. A 6 day old infant who has a resp. rate of 70, pulse of 180 & a slight nasal flaring is to be given an oral medication. Which acton is to be taken first?
a. Attempt to give the neonate a small amt. of H2O
b. Check the last PaO2 reading
c. Suction the neonate's trachea
I think it's "b". It doesn't say that the neonate has a tracheostomy.
2. Because of a normal fear that 3 y/o children are likely to have, which of these actions should the nurse take after an IM medication?
a. Remind the child when the next injection will be given
b. Review the procedure that just took place
c. Place a small bandage over the injection site
I say "c" because children are afraid of pain & bleedig & a bandage will help the "boo-boo".
3. Which of these statements explains why school-age children are typically compliant in terms of taking medication?
a. They fantasize negative outcomes is they do not comply
b. They tend to be like their peers
c. They are anxious to please authourity figures
I say "a". Possibly "c". Not sure.
4.Children on glucocorticoid therapy are at risk for development of:
a. Hematological disorders
I say "c".
5. You are caring for a 3 y/o with a tracheostomy. He had exhibited S/Sx f a URI for 2 days. Albuterol nebulizer Tx's have been ordered q 4 hrs prn wheezing. Last dose 4 hrs ago. He is wheezing, his O2 Sats are 94% on R/A & his heart rate is 220 bpm. What would you do first?
a. Phone the PSA Clinical Coordinator
b. Give Albuterol & follow the heart rate closely
c. Reassess respiratory status & heart rate in 2 hrs.
I say "b". His heart rate is slightly up, probably due to the Albuterol, & his Sats are WNL
6. Your 6 month old client is on Amoxicillin for otitis media. The order reads (125mg/5cc) 2.4 cc po TID X 10 days. She is due for her dose now. How would you administer it?
a. Add it to a four ounce bottle you are about to feed her
b. Add the medicationonly to a nipple, allow her to take all of the medication
c. Wait two hours after the feed to administer
Is it "c"? Is she being fed now?