Author Question: A nurse is preparing to start a continuous IV infusion on a child. The nurse selects a Buretrol ... (Read 136 times)

jho37 · **on:** Jun 27, 2018

A nurse is preparing to start a continuous IV infusion on a child. The nurse selects a Buretrol (volume-control) attachment as part of the IV tubing set-up. The main purpose for selecting a Buretrol attachment is to:

a. avoid fluid overload.
b. aid in measuring intake.
c. administer antibiotics.
d. ensure adequate intravenous fluid intake.

Question 2

Which action is correct when administering ear drops to a 2-year-old child?

a. Administer the ear drops straight from the refrigerator.
b. Pull the pinna of the ear back and down.
c. Massage the pinna after administering the medication.
d. Pull the pinna of the ear back and up.

mfedorka · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
A volume-control device such as a Buretrol or an infusion pump allows the nurse to set a specific volume of fluid to be given in a specific period of time (usually 1 hour) and decreases the risk of inadvertently administering a large amount of fluid. Although the use of a volume-control device allows for accurate measurement of intake, the primary purpose for using this equipment is to prevent fluid overload. Medications such as antibiotics can be administered with a volume-control device; however, this is not the primary purpose.

Answer to Question 2

B
For children younger than 3 years, the pinna, or lower lobe, of the ear should be pulled back and down to straighten the ear canal. Medication should be at room temperature because cold solutions in the ear will cause pain. The tragus of the ear should be massaged to ensure the drops reach the tympanic membrane. For a child 3 years or older, the pinna is pulled up and back.