Which nursing approach would be most appropriate to use while administering an oral medication to a 4-month-old?
A. Place medication in 45cc of formula.
B. Place medication in an empty nipple.
C. Place medication in a full bottle of formula.
D. Place in supine position. Administer medication using a plastic syringe.
Correct Answer: B. Place medication in an empty nipple.
This is a convenient method for administering medications to an infant. Draw up the correct amount of medicine into an oral syringe (a syringe without a needle) or an empty nipple. Let the infant suck the medicine out of the syringe or empty nipple. When giving medicine to an infant, use his natural reflexes (such as sucking) whenever possible.
Option A: Avoid mixing medicine with foods the child must have. The child may begin to dislike the foods he needs. Mix the medicine with a small amount (1 to 2 teaspoons) of applesauce or pears and give it with a spoon. This is a good way to give pills that have been crushed well. (To crush a pill, place it between two spoons and press the spoons together).
Option C: Some medicines can be put in a small amount of juice or sugar water. Follow the instructions from the doctor, nurse, or pharmacist. Do not put medicine in a full bottle or cup in case the infant does not drink very much.
Option D: Option D is partially correct however, the infant is never placed in a reclining position during a procedure due to a potential aspiration. Hold the infant in a nearly upright position. If the infant struggles, gently hold one arm and place his other arm around the waist. Hold the baby close to the body.