Author Question: The nurse has experienced challenges in administering a 3-year-old boy's oral antibiotics due to the ... (Read 13 times)

awywial · **on:** Jul 23, 2018

The nurse has experienced challenges in administering a 3-year-old boy's oral antibiotics due to the boy's resistance. How can the nurse best ensure that this patient receives his necessary medication?

A) Convince the boy that the medication is actually a treat, especially reserved for him.
B) Mix the medication with pleasantly flavored syrup or pureed fruit.
C) Withdraw some of the child's privileges if he refuses to take his medication.
D) Distract the child with a toy and then put it in his mouth quickly.

Question 2

An older adult's constipation has not responded to first-line laxatives, so lactulose has been prescribed. The nurse should know that this medication achieves a therapeutic effect by which of the following means?

A) Decreasing the viscosity of intestinal contents in the duodenum
B) Pulling water into the intestinal lumen by osmotic pressure
C) Irritating the intestinal mucous membrane
D) Relaxing the muscle tone of the ileocecal valve and anal sphincter

sultana.d · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
To make oral medications more palatable, the nurse may mix them with flavored syrups or fruit purees. It would be inappropriate to use negative reinforcement, and medications should not be characterized as candy or treats. Sneaking the medication into the child's mouth will not ensure that it will be swallowed.

Answer to Question 2

B
Feedback:
Lactulose (Chronulac, Cephulac) is a disaccharide that is not absorbed from the GI tract. It exerts laxative effects by pulling water into the intestinal lumen. It does not change muscle tone, change the viscosity of bowel contents, or irritate the intestinal epithelium.