The nurse working in a school health office is visited by a ...

[Kikoku]

The nurse working in a school health office is visited by a student complaining of menstrual cramps and requesting Motrin (ibuprofen). The nurse's best action is to:
 
  1. Administer the medication.
  2. Inform the student that the nurse cannot prescribe medication.
  3. Administer the medication only if the school has a standing order allowing administration.
  4. Assess the student.

Question 2

The nurse is preparing a preschooler for IV insertion. Age-appropriate considerations for the 36-year-old include:
 
  1. Using distraction, such as shaking a rattle.
  2. Having the child push his hands together.
  3. Explaining the procedure shortly beforehand.
  4. Considering the appearance of the IV infusion line.

[akpaschal]

Answer to Question 1

4
Rationale: Before administering any medication, the student must be assessed to determine level and location of pain, presence of other signs or symptoms, history of medical problems, and allergies. Once this information is collected, the nurse can administer the medication only with a physician's order, which may be in the form of a standing order.

Answer to Question 2

2
Rationale: Using a rattle, singing a song, and providing a toy are distractions appropriate for an infant.

[Kikoku]

Excellent

[dyrone]

TYSM