Author Question: The student nurse is preparing to administer eye drops to a 2-year-old child. Which actions indicate ... (Read 54 times)

strangeaffliction · **on:** Jun 28, 2018

The student nurse is preparing to administer eye drops to a 2-year-old child. Which actions indicate the need for additional instruction? Select all that apply.

A) The student nurse explains the medication regimen to the child's parents.
B) The nurse holds the medication bottle 3 inches from the child's nurse during administration.
C) The child is instructed to look down during the instillation of the medication in the eyes.
D) The student nurse seeks assistance to hold the child during the medication administration.
E) The child is turned so the medication flows toward the outer corner of the eye.

Question 2

The nurse is caring for a 10-year-old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse take first?

A) Reposition the child's foot on a pressure-reducing device.
B) Apply lotion to his foot to maintain skin integrity.
C) Make sure the skin is clean and dry.
D) Gently massage his foot to promote circulation.

ebe · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: B, C, E
When preparing to administer medications to a child teaching to the parents and the child (based upon the child's ability to comprehend) about the medication and the procedure that will be used. When a child is under the age of 3, assistance should be obtained from another health care provider. The bottle should be held one inch from the child's nose. The child should be instructed to look up and to the side for the administration. The medication should flow toward the nose.

Answer to Question 2

Ans: A
The nurse's first action is to remove continuous pressure from this area. The other actions can help decrease the potential for skin breakdown, but the pressure must be relieved first.