A pediatric client who has a terminal illness and is in a lot of ...

[DyllonKazuo]

A pediatric client who has a terminal illness and is in a lot of pain is given an opioid analgesic, which is titrated. The nurse receiving report on this client hears the word titrated and knows this means:
 
  a. to pass through a special fine-mesh micron filter to remove any impurities
  b. to deliver small, frequent doses of the medication prescribed to the child until the desired effect (pain management) is observed
  c. to give a bolus and follow up the bolus with several small doses if there is breakthrough pain
  d. to mix with a special titration solution, which will better dissolve the opiate because this medication is difficult to dissolve fully

Question 2

A mother complains that her 2-month-old baby doesn't like any sort of solid food because he pushes all solid food out of his mouth. The nurse's best response is based on the knowledge that at 2 months of age most infants:
 
  a. Use the extrusion reflex to reject inappropriate types of food
  b. Will readily eat solid food in small bites
  c. Should be offered solid foods as an introduction to more mature eating
  d. Suck in portions of solid food

[CAPTAINAMERICA]

Answer to Question 1

B

Feedback
A Incorrect: Filtration is the process of passing a solution through a special fine-mesh micron filter to remove any impurities, it is not the same as titration.
B Correct: The technique of delivering small doses of the medication until the desired effect (pain relief) is observed is called titration. Titrating the dose up or down may be necessary in order to obtain adequate analgesia with minimal side effects.
C Incorrect: A bolus is typically a large amount either administered orally or via IV with rapidity, the opposite of titration, i.e., small doses offered frequently.
D Incorrect: Titration is a process of administering small doses frequently, and has no connection with taking the opiate into solution.

Answer to Question 2

A
The extrusion reflex, which disappears at around the third or fourth month, causes the infant to push inappropriate food from the mouth. Feeding the 2-month-old solid food is not appropriate.