NURS 6521 A 5-year-old boy needs an IM injection, what would be least painful and most effective injection site
Sample Answer for NURS 6521 A 5-year-old boy needs an IM injection, what would be least painful and most effective injection site Included After Question
Week 11
quiz
Question 1
A nurse working in a cancer center is preparing to
administer medication to a 5-year-old child. The nurse will calculate the drug
dosage by using
Question 2
A 5-year-old boy needs an IM injection. The least painful
and most effective injection site would be the
Question 3
A 2-year-old child is diagnosed with a minor ailment and is
to be administered medications at home for 2 weeks. The child lives with his mother,
NURS 6521 A 5-year-old boy needs an IM injection, what would be least painful and most effective injection site
grandmother, and four other children between the ages of 14 months and 7 years.
The home health nurse is asked to assess the home environment to determine if
it is appropriate for the child to take his medication at home. Which of the
following will have the greatest impact on the nurse’s assessment?
Question 4
A 19-year-old patient reports to a clinic with vaginal
discharge with a foul odor. A microscopic exam reveals trichomonas vaginalis.
The nurse practitioner is aware that
Question 5
A 29-year-old woman who is morbidly obese has recently begun
a comprehensive, medically-supervised program of weight reduction. Prior to
adding dextroamphetamine (Dexedrine) to her regimen, the patient should be
questioned about her intake of
Question 6
A 10-year-old boy is taking dextroamphetamine (Dexedrine)
daily for ADHD. At each clinic visit, the nurse’s priority assessment would be
Question 7
A nurse works at a weight management clinic. To which of the
following overweight patients could the nurse safely administer
dextroamphetamine?
Question 8
A 30-year-old man with a BMI of 59 has recently been
diagnosed with type 2 diabetes mellitus. In light of the man’s lack of success
with weight loss programs in the past, his care provider has prescribed
sibutramine (Meridia). What instructions should the nurse consequently provide
to this patient?
Question 9
A nurse is explaining to the parents of a 6-year-old child
suffering from angina why nitroglycerin patches for chest pain would not be
appropriate. Which of the following will the nurse include in an explanation?
Question 10
A nurse is providing patient education to a 13-year-old girl
who was just diagnosed with type 1 diabetes mellitus. Which of the following
statements by the patient will alert the nurse that special instructions
regarding insulin are necessary?
Question 11
A nurse is going to administer medication to an infant using
a medicine dropper. The best method is to open the child’s mouth by gently
squeezing the cheeks and placing the drops
Question 12
A 21-year-old female has a history of irregular menses. She
recently became sexually active, and would like to begin taking oral
contraceptives (OCs). The nurse practitioner recognizes that most likely this
patient would benefit from taking which category of OCs.
Question 13
A 15-year-old boy has been diagnosed with bone cancer after
several months of fatigue and pain. What question should the nurse include in
an assessment when trying to minimize the potential for adverse drug reactions?
Question 14
A 22-year-old woman has given birth to an infant who
exhibits the signs and symptoms of maternal cocaine use during pregnancy. These
signs and symptoms are a result of what pathophysiological effect of opioid use
during pregnancy?
Question 15
A nurse is caring for a 10-year-old boy who complains of
chronic headaches. His mother reports that she gives him Tylenol at least three
times a day. Which of the following will the nurse work with the physician to
evaluate?
Question 16
The recommended treatment for trichomoniasis is
Question 17
A child is admitted to the burn unit with second and third
degree burns on both arms and part of his or her face. When administering
topical medications to the burned areas, the nurse should
Question 18
A patient is being seen in the emergency department for a
sprained ankle and is given a drug to relieve pain. When a second dose of the
pain medication is given, the patient develops redness of the skin, itching,
and swelling at the site of injection of the drug. The most likely cause of
this response is
Question 19
A 13-year-old female took a weight loss drug that activated
the sympathetic nervous system. Which of the following assessment findings
would the nurse expect?
Question 20
To which of the following patients would a medication nurse
most likely administer caffeine as part of the treatment plan?
Question 21
A 6-month-old child has developed skin irritation due to an
allergic reaction. He has been prescribed a topical skin ointment. The nurse
will consider which of the following before administering the drug?
Question 22
A nurse is obtaining baseline physical data from a
7-year-old patient who is to be started on dextroamphetamine for ADHD. After
obtaining vital signs, height, and weight, the nurse will prepare the patient
for an
Question 23
A nurse is having difficulty administering a bitter drug to
a 5-year-old child. The nurse should
Question 24
A 15-year-old boy who has been taking dextroamphetamine for
the treatment of ADHD has been experiencing a depressed mood and a sense of
hopelessness. He confides in the school nurse that he has begun taking his
stepfather’s antidepressant to improve his mood. After immediately phoning the
boy’s stepfather, the nurse learns that the drug in question is phenelzine
(Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that
this combination of drugs creates a serious risk of what health problem?
Question 25
A nurse who provides care on a pediatric unit of a hospital
is aware that the potential for harm as a result of drug errors is higher among
infants and children than adults. This fact is primarily due to
Question 26
A nurse practitioner orders 150 mg of oral fluconazole for a
patient with vulvovaginal candidiasis. The patient should expect to take
medication
Question 27
The clinical nurse educator who oversees the emergency
department in a children’s hospital has launched an awareness program aimed at
reducing drug errors. What measure addresses the most common cause of incorrect
doses in the care of infants and children?
Question 28
A preterm neonate received caffeine for the treatment of
apnea. The nurse should monitor the neonate for which of the following?
Question 29
A nurse is administering drugs to a 10-year-old child who
has multiple health problems. The child is underweight and is on a special
diet. Which of the following will the nurse consider when planning for the best
absorption of the prescribed drugs? (Select all that apply.)
Question 30
A patient reports to a clinic with complaints of breast
tenderness, a right lumpy breast, and no breast discharge. The breast
tenderness occurs primarily during her menstrual cycle. The nurse practitioner
probably suspects
Question 31
A 12-year-old boy is being discharged from the hospital
after major surgery. The boy will be taking two medications at home for an
extended period. The nurse who is discharging the patient should provide
medication teaching specifically to
Question 32
A 7-year-old child has been taking tetracycline for a
bacterial infection. The nurse will be sure to inform the parents that this
drug could cause
Question 33
A 16-year-old boy is prescribed cromolyn sodium nasal spray
to treat a nasal allergy. To maximize the therapeutic effects of the drug,
which of the following will the nurse include in instructions to the patient?
Question 34
A patient asks the nurse practitioner about food sources
such as soybeans and soy products. The nurse practitioner understands that
these foods are considered
Question 35
A 3-year-old boy has developed otitis media and requires
antibiotics. In order to increase the chance that the boy will take his
prescribed medication, the nurse should
Question 36
A nurse who provides care on a pediatric medicine unit has
conducted a medication reconciliation of a recently-admitted patient. In light
of the fact that the child takes methylphenidate (Ritalin), the nurse is
justified in considering a history of what health problem?
Question 37
An immunocompromised 7-year-old child was recently
discharged home with a peripherally-inserted central line (PIC line) for home
antibiotic therapy. He has now been brought to the emergency department by his
mother and father with signs and symptoms of line sepsis. Upon questioning, the
mother states that she has been removing the PIC dressing daily and washing the
site with warm water and a cloth. What nursing diagnosis is most appropriate in
this situation?
Question 38
A 35-year-old woman is on a weight-loss program and is to
begin taking sibutramine (Meridia). After baseline physical data are obtained,
the nurse will assess the patient’s childbearing potential. The nurse will
inform the patient that during sibutramine therapy she should
Question 39
A school nurse has been teaching high school students about
the risks associated with marijuana use. However, the nurse has been met with
considerable skepticism on the part of students, most of whom believe that
marijuana is a benign drug. Which of the following teaching points should the
nurse provide?
Question 40
A nurse practitioner orders a single dose of 2 g
Metronidazole orally. How many milligrams will the patient receive in one dose?
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DISCUSSION RUBRIC
NURS 6521 A 5-year-old boy needs an IM injection, what would be least painful and most effective injection site Grading Rubric Guidelines
Performance Category 10 9 8 4 0
Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions.
Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
Evaluates literature resources to develop a comprehensive analysis or synthesis.
Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
Evaluates information from source(s) to develop a coherent analysis or synthesis.
Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
Demonstrates little or no understanding of the topic.
Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
Information is taken from source(s) without any interpretation/evaluation.
The posting uses information that is not valid, relevant, or reliable
No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
Information is not valid, relevant, or reliable
Performance Category 10 9 8 4 0
Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations
Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
Applies concepts to personal experience in the professional setting and or relevant application to real life.
Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
Applies concepts to personal experience in their professional setting and or relevant application to real life
Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
Posts are superficial and do not reflect an understanding of the lesson content
Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category 5 4 3 2 0
Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.
(5 points possible per graded thread)
Exceeds minimum post requirements
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
Replies to a post posed by faculty and to a peer
Summarizes what was learned from the lesson, readings, and other student posts for the week.
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
Replies to a question posed by a peer
Summarizes what was learned from the lesson, readings, and other student posts for the week.
Meets expectations of 2 posts on 2 different days.
The main post is not made by the Wednesday deadline
Does not reply to a question posed by a peer or faculty
Has only one post for the week
Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
Does not post to the thread
No connections are made to the topic
Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.
Points deducted for improper grammar, syntax and APA style of writing.
The source of information is the APA Manual 6th Edition
2-3 errors in APA format.
Written responses have 2-3 grammatical, spelling, and punctuation errors.
Writing style is generally clear, focused, and facilitates communication.
4-5 errors in APA format.
Writing responses have 4-5 grammatical, spelling and punctuation errors.
Writing style is somewhat focused.
6-7 errors in APA format.
Writing responses have 6-7 grammatical, spelling and punctuation errors.
Writing style is slightly focused making discussion difficult to understand.
8-10 errors in APA format.
Writing responses have 8-10 grammatical, spelling and punctuation errors.
Writing style is not focused, making discussion difficult to understand.
Post contains greater than 10 errors in APA format.
Written responses have more than 10 grammatical, spelling and punctuation errors.
Writing style does not facilitate communication.
The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost -5 points lost
Total Participation Requirements
per discussion thread
The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement
per discussion thread
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

