Five-year old child weighs forty pounds. Doctor orders Reglan 0.8 mg/kg/day to be given in four doses. How many mg per dose is to be give?
3.65 mg
100
To ensure you have the right patient what procedures should you do before giving medicine?
Check identification bracelet, ask child's name if possible.
100
A 10 year old child is afraid of needles and begs the nurse to wait until later to give the medication. The LPN knows that:
The medication is necessary and ordered for recovery, therefore no choice is given to the child.
100
The LPN recalls that at birth water accounts for what percent of body weight?
77%
100
To administer ear drops to an infant to 3 year old what position does the LPN utilize?
side lying position with the affected ear up, pinna pulled down and back
200
The nurse is calculating a medication dosage for an infant who weighs 20 pounds. What is the weight in kilograms
9.1 kg
200
When giving medication to a child what must the nurse perform to ensure the right medication?
Check the drug label and compare the drug to the MAR
200
What role can family caregivers provide when the nurse is administering a medication to a child?
They can calm, persuade, and achieve cooperation in the child to assist the nurse.
200
IV therapy is administered in pediatrics for what reasons?
Provide water, electrolytes, and nutrients
200
When administering medications the nurse should never use what rooms?
The bedroom or playroom.
300
The child has been vomiting and cannot take oral Zofran. The nurse knows Zofran can be given rectally. What should the nurse do before giving the Zofran rectally?
Call the physician to modify the current order.
300
Where should the nurse prepare injection, solutions, or instrument trays?
Out of the child's sight.
300
The LPN knows there are many site selections for IV's in the pediatric patient. The best choice of site is:
One that least restricts the child's movement.
400
What is the body surface area of a child who weighs 65 pounds and is 49 inches tall?
1 meter squared
400
A child in the care of an LPN has an order for PRN Tylenol. The child is showing signs of pain the LPN wants to administer Tylenol. What should the nurse do before administering Tylenol?
Check the MAR for the last administration time.
400
How does the nurse explain a procedure to a child?
Use simple brief explanations and use words the child will understand.
400
When assessing the IV site the LPN should monitor the site for:
signs of infiltration, inflammation, pain, leakage, and infection
400
When giving an IM injection in an infant what location is almost exclusively used:
vastus lateralis
500
When giving medications what documentation does the LPN need to provide?
The time and dose given of each medication.
500
What is important to remember when discussing a child's care with family members?
Include the child in the conversation, do not talk as if the child is not there.
500
To avoid overloading the pediatric circulation system and inducing cardiac failure IV drip rate must be slow for the small child. What types of devices are available?
"mini" or "micro" drop
500
When giving eye drops to a child what position should the LPN place the child in?