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CHAPTER 13:Key Pediatric Nursing
Interventions Verified and Updated
Questions and Answers (100% Correct
Answers)
1. The nurse caring for a 6-year-old patient 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. Which of the following 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 physician prescribe the medication in liquid form.
D) Call the pharmacy and ask if the pill can be crushed.
Answer: 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 physician 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 'eight 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.
, Inquire through: | Professional | Confidential Support
F) The nurse administers the medication even though the child is adamant about not
taking it.
Answer: 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
medication 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 drugs they are administering. What is a factor affecting
this property of drugs?
A) Immature body systems
B) Weight
C) Body surface
D) Body composition
Answer: 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).
4. 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.
CHAPTER 13:Key Pediatric Nursing
Interventions Verified and Updated
Questions and Answers (100% Correct
Answers)
1. The nurse caring for a 6-year-old patient 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. Which of the following 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 physician prescribe the medication in liquid form.
D) Call the pharmacy and ask if the pill can be crushed.
Answer: 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 physician 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 'eight 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.
, Inquire through: | Professional | Confidential Support
F) The nurse administers the medication even though the child is adamant about not
taking it.
Answer: 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
medication 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 drugs they are administering. What is a factor affecting
this property of drugs?
A) Immature body systems
B) Weight
C) Body surface
D) Body composition
Answer: 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).
4. 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.
