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Exam (elaborations)

NU 410 exam 2 Study Guide with Complete Solutions

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  • NU 410
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  • NU 410

NU 410 exam 2 Study Guide with Complete Solutions eight rights of pediatric medication - Ans:-- Right medication - Right patient - Right time - Right route of administration - Right dose - Right documentation - Right to be educated - Right to refuse oral medication absorption in children ...

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  • October 23, 2024
  • 63
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 410
  • NU 410
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GraceAmelia
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NU 410 exam 2 Study Guide with
Complete Solutions


eight rights of pediatric medication - Ans:✔✔-- Right medication


- Right patient


- Right time


- Right route of administration


- Right dose


- Right documentation


- Right to be educated


- Right to refuse


oral medication absorption in children - Ans:✔✔-lower gastric emptying, increased intestinal motility, a

proportionately larger small intestine surface area, higher gastric pH, and decreased lipase and amylase

secretion compared with adults




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IM medication absorption in children - Ans:✔✔-decreased due to smaller muscle mass, muscle tone


subQ medication absorption in children - Ans:✔✔-decreased


topical absorption of medications - Ans:✔✔-increased due to greater body surface area and greater

permeability of infant's skin


Developmentally Appropriate Explanations for Medications for Children - Ans:✔✔-- Why the drug is

needed


- What the child will experience


- What is expected of the child


- How the parents can participate and support their child


- share information before during and after procedures


Determining Children's Doses by Body Weight - Ans:✔✔-- Weigh the child.


- Check a drug reference for the safe dose range (e.g., 10 to 20 mg/kg of body weight).


- Calculate the low safe dose.


- Calculate the high safe dose.


- Determine if the dose ordered is within this range.


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FIRST PUBLISH OCTOBER 2024




oral medications for children - Ans:✔✔-Direct to posterior


Allow time to swallow


Elevate at least 45 degrees


Tell child med is in Food. Don't Put in a Bottle!


NO forcing


No pinching nose (unless child wants to pinch their own nose)


Mom can blow in child's face. However, not the RN


rectal administration in children - Ans:✔✔-- Not a preferred route due to erratic & unpredictable

absorption; invasive method of administration


- vomiting or NPO


- Use age-appropriate explanations & reassurance


- Lubricate suppository, have child in side-lying position


- Insert above anal sphincter - use 5th finger for child less than 3 years; use index finger for older child


- Hold buttocks together for several minutes




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FIRST PUBLISH OCTOBER 2024




- If child has bowel movement within 30 min after administration, observe stool for suppository, notify

physician if observed to see if sup should be re-admin


Ophthalmic Administration - Ans:✔✔-Supine, hyper-extended neck, heel of hand on forehead, Wear

gloves, place in the conjunctival sac


ear medication administration - Ans:✔✔-Pinna up & back if over 3 years




Pinna down & back if less than 3 years


nasal drop administration - Ans:✔✔-Remain hyperextended 1 min


IM med admin - Ans:✔✔-Vastus lateralis -preferred for peds patients


Ventrogluteal - Must have been walking for at least one year. Some research says school age


Deltoid - Used as site in children older than 3 or with enough muscle mass


Dorsogluteal - Not recommended anymore


Subcutaneous administration - Ans:✔✔-- Distributes medication into the fatty layers of the body


- Insulin administration, heparin, and certain immunizations, such as MMR


intradermal administration - Ans:✔✔-- Deposits medication just under the epidermis


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