1.
The administration of medications at the child care program should be limited to:
Correct Answer
D. Both a and b
Explanation
Both option a and b should be allowed for the administration of medications at the child care program. Option a states that prescribed medications ordered by a health care provider for a specific child and a specific illness should be allowed. This ensures that the child receives necessary medication as prescribed by a professional. Option b states that nonprescription medications recommended by a health care provider for a specific child, with written permission of the parent or legal guardian, should also be allowed. This allows for the administration of over-the-counter medications that are deemed necessary by a healthcare provider and authorized by the parent or legal guardian.
2.
Medications which responsible staff have been trained to administer including oral, topical, nasal, ear and eye and medications which bear their original prescription label or a manufacturer’s label and which are provided in safety lock containers, transported safely with regard to temperature, light and other physical storage requirements is appropriat to have in your center.
Correct Answer
A. True
Explanation
The explanation for the given correct answer is that having medications in a childcare center that are administered by trained staff, properly labeled, and stored safely is appropriate. This ensures that the medications are being administered correctly and safely to the children in the center. It also shows that the center is taking proper precautions to meet the storage requirements of the medications, such as temperature and light conditions. Overall, having these measures in place helps to ensure the health and safety of the children in the center.
3.
Medications must be in the original container and labeled with child’s name, name of medication, directions for medication’s administration, and date of the prescription. All unused medication will be destroyed if not picked up within one week following the termination of the authorized prescriber’s order.
Correct Answer
A. True
Explanation
Medications must be in the original container and labeled with specific information to ensure proper administration and prevent any confusion or mistakes. This includes the child's name, name of the medication, directions for administration, and the date of the prescription. If medications are not picked up within one week after the authorized prescriber's order is terminated, they will be destroyed to ensure the safety and effectiveness of the medication. Therefore, the statement "Medications must be in the original container and labeled with child's name, name of medication, directions for medication's administration, and date of the prescription" is true.
4.
Make sure that any prescribed medication parents may give you meets the following criteria:
Correct Answer
D. All listed
Explanation
The correct answer is "All listed" because it means that all of the criteria mentioned in the question are met. The medication must have the child's first and last name on the container, be prescribed by a licensed health professional (with their name and phone number on the container), and be in the original childproof package or container. By selecting this answer, it indicates that all of these requirements are fulfilled.
5.
Medication should be given at home whenever possible, but there will be times when it must be given while the child is in child care.
Correct Answer
A. True
Explanation
Medication should be given at home whenever possible to ensure the child's safety and to minimize the risk of any adverse reactions or complications. However, there may be situations where a child requires medication while in child care, such as for chronic conditions or emergency situations. In such cases, it is important for child care providers to have clear guidelines and protocols in place to ensure the safe administration of medication and to communicate effectively with parents or guardians. Therefore, the statement that medication should be given at home whenever possible, but there will be times when it must be given while the child is in child care is true.
6.
Nonprescription medications do not require approval of the child’s health care provider if administered according to the product label and if parental approval and instructions are provided in writing from the parent. The instructions from the parent cannot conflict with the product label and must be filed with the child’s records.
Correct Answer
A. True
Explanation
Nonprescription medications can be administered to a child without the approval of a healthcare provider if they are used according to the instructions on the product label and if the parent provides written approval and instructions. These instructions from the parent should not contradict the information on the product label and should be documented in the child's records. Therefore, the statement is true.
7.
Make sure that any prescribed medication parents may give you meets the following criteria:
Correct Answer
D. Both listed
Explanation
The correct answer is "Both listed". This means that the medication should meet both criteria mentioned in the question. It should be for the current episode of illness and the container should have specific instructions for administering, storing, and disposing of the medication, as well as an expiration date.
8.
Medications should always be stored in their original container in a secure place out of the reach of children. Refrigerated medication should be stored in a plastic or zip-lock bag in the food section of the fridge. Storing medication in clear plastic containers where it can be seen will help providers remember to give it. Do not freeze medication. If the medication is left unrefrigerated for a long period of time, check with a pharmacist to see if it is still effective.
Correct Answer
A. True
Explanation
Medications should always be stored in their original container in a secure place out of the reach of children. Storing medication in clear plastic containers where it can be seen will help providers remember to give it. Refrigerated medication should be stored in a plastic or zip-lock bag in the food section of the fridge. Freezing medication should be avoided. If the medication is left unrefrigerated for a long period of time, it may not be effective anymore, so it is important to check with a pharmacist.
9.
It is ok to freeze medication.
Correct Answer
B. False
Explanation
Freezing medication is not recommended as it can affect the stability and effectiveness of the medication. Freezing can cause the formation of ice crystals, which can damage the structure of the medication and alter its chemical composition. This can lead to a loss of potency or even make the medication ineffective. It is important to store medication according to the instructions provided, usually at room temperature or in a cool, dry place.
10.
Topical medications – used to treat skin conditions such as diaper rash, infections.
Correct Answer
A. True
Explanation
Topical medications are indeed used to treat skin conditions such as diaper rash and infections. These medications are applied directly to the affected area of the skin, providing localized treatment and relief. They can come in various forms, including creams, ointments, gels, and lotions. By directly targeting the affected area, topical medications can effectively alleviate symptoms and promote healing. Therefore, the statement "Topical medications – used to treat skin conditions such as diaper rash, infections" is true.
11.
Oral medication can be solid such as tablets or capsules or can be liquid such as elixirs or suspensions. All oral medications should be followed by two to four ounces of water unless otherwise indicated.
Correct Answer
A. True
Explanation
Oral medications can be in solid form like tablets or capsules, or in liquid form like elixirs or suspensions. It is recommended to take all oral medications with two to four ounces of water, unless stated otherwise. Therefore, the statement "All oral medications should be followed by two to four ounces of water unless otherwise indicated" is true.
12.
Common ways to give medicine include:
Correct Answer
E. All listed
Explanation
The correct answer is "All listed" because all of the mentioned ways (oral medication, eye drops, topical medications, and inhaled medication) are common methods of administering medicine. Each method is used depending on the specific condition and the desired effect of the medication.
13.
Who should be the person that dispenses medication to children?
Correct Answer
D. All listed
Explanation
The person who dispenses medication to children should have designated time for administering medications, be trained to administer the type of medication as required by the protocol of the local health consultant, and assure safe storage and disposal of medication. This ensures that the medication is given at the appropriate time, by someone who knows how to administer it correctly, and that the medication is stored and disposed of safely to avoid any potential harm or misuse.
14.
According to the American Academy of Pediatrics and American Public Health Association, all staff who work with children should have training on these practices .
All staff should be trained on proper medication safety in child care upon employment and once every two years thereafter. Documentation of the individual trainings will provide proof that all staff members know how to administer medications.
Correct Answer
A. True
Explanation
According to the American Academy of Pediatrics and American Public Health Association, it is recommended that all staff who work with children should receive training on proper medication safety in child care. This training should occur upon employment and be repeated every two years. The documentation of these trainings will serve as proof that all staff members are knowledgeable in administering medications safely. Therefore, the statement that all staff should be trained on proper medication safety in child care is true.
15.
Child care facility should have a written policy for the use of prescription and nonprescription medication. Your medication policy should cover use of any commonly used nonprescription medication. Your health consultant could be helpful in preparing such a policy as it relates to acetaminophen, sunscreen, syrup of ipecac, etc.
Correct Answer
A. True
Explanation
A child care facility should have a written policy for the use of prescription and nonprescription medication. This policy should include guidelines for the use of commonly used nonprescription medications such as acetaminophen, sunscreen, and syrup of ipecac. Having a written policy ensures that there are clear guidelines in place for the administration of medication, which helps to ensure the safety and well-being of the children in the facility. Seeking guidance from a health consultant can be beneficial in developing this policy to ensure that it aligns with best practices and regulations. Therefore, the statement "True" is correct.
16.
Child care providers need to be aware of what medication the child is receiving, who prescribed the medicine and when, and what the known reactions or side effect may be if a child has negative reaction to the medicine.
Correct Answer
A. True
Explanation
Child care providers need to be aware of the medication a child is receiving, the prescriber, the timing, and any potential reactions or side effects. This is important for the safety and well-being of the child in case of a negative reaction to the medication.
17.
It is ok to give a child medication anytime during the day as long as they get it sometime during the day.
Correct Answer
B. False
Explanation
Giving a child medication anytime during the day is not necessarily okay. The timing of medication administration is important as it can affect its effectiveness. Some medications need to be taken at specific times to ensure optimal absorption and therapeutic levels in the body. Additionally, certain medications may cause drowsiness or other side effects that can interfere with a child's daily activities if taken at the wrong time. Therefore, it is important to follow the instructions provided by the healthcare professional or the medication label regarding the timing of medication administration.
18.
What should be included with each prescription?
Correct Answer
D. All listed
Explanation
Each prescription should include the first and last name of the child, the name of the medication, and the reason for the medication. All of these details are crucial for ensuring that the correct medication is given to the right child and for understanding the purpose of the medication.
19.
For infants - Assemble all supplies within reach—medication, tissues, measuring devices—and wash your hands. Measure the correct amount of medication. If you are not able to hold the infant and give the medication at the same time, ask for help. Talk to the infant and gently touch his or her mouth with the dropper or medication syringe. If his or her mouth doesn’t open, gently pull down the chin. Make smacking sounds with your mouth to model what you want. When the infant’s mouth is open, place the dropper or syringe on the middle of the tongue and slowly drop the medication a little at a time. If the infant does not cooperate, gently slide the dropper or syringe between the inside of cheek and gums and slowly drop in medication. Or, try dropping pre-measured amount of medication into a bottle nipple and let the infant suck it up.
Correct Answer
A. True
Explanation
The explanation for the given correct answer is that the statement accurately describes the correct procedure for administering medication to infants. It emphasizes the importance of having all supplies ready, washing hands, measuring the correct amount of medication, and seeking help if needed. The explanation also provides step-by-step instructions for how to administer the medication, including techniques for getting the infant to open their mouth and alternative methods if they do not cooperate. Additionally, it suggests using a bottle nipple as an alternative method for administering the medication.
20.
For Toddlers and Preschoolers
Follow the same preparation as for infants, but try to prepare toddlers by letting them know you are going to be giving medication and you will need their help. Pre-measured medication may be placed in a spoon or in a small cup. If they are cooperative they may not need your help and will do it themselves; if not, you may have to firmly hold them while you use a dropper or medication syringe to place medication in the mouth between cheek and gums. Allow time for the medication to be slowly swallowed. Always praise children for their cooperation.
Correct Answer
A. True
Explanation
The explanation for the given correct answer is that the passage suggests that toddlers and preschoolers can be prepared for taking medication by letting them know in advance and involving them in the process. The passage also mentions that pre-measured medication can be given in a spoon or small cup, and if the child is cooperative, they may be able to take the medication themselves. However, if they are not cooperative, the caregiver may need to hold them firmly while using a dropper or medication syringe to administer the medication. The passage emphasizes the importance of praising children for their cooperation.
21.
Children may react to the medications you administer. Typical reactions include :
Correct Answer
D. All listed
Explanation
Children may have various reactions to medications that are administered to them. Some common reactions include rashes, vomiting, and swelling. In this case, the answer states that all of these reactions are listed, indicating that it is possible for children to experience any or all of these symptoms when taking medications.
22.
If you have any concerns about a reaction, notify the parent and seek advice from the health care provider or pharmacist.
Correct Answer
A. True
Explanation
The statement suggests that if there are any concerns about a reaction, it is important to inform the parent and seek advice from a healthcare provider or pharmacist. This emphasizes the importance of communication and seeking professional guidance in case of any concerns or issues related to a reaction, indicating that the statement is true.
23.
A number of situations may arise related to administering medication in child care:
Correct Answer
D. Both
Explanation
The given answer "Both" is correct because both situations mentioned in the passage are important considerations when administering medication in child care. The first situation emphasizes the importance of not giving herbal remedies unless they are properly labeled and prescribed by a licensed health care provider. The second situation highlights the need to respect parents' desire for confidentiality regarding their child's health condition, but also emphasizes the importance of knowing if there are any medication reactions to watch for.
24.
Parents should sign a permission slip to allow child care providers to apply over the counter diaper rash medication.
Correct Answer
A. True
Explanation
Parents should sign a permission slip to allow child care providers to apply over the counter diaper rash medication. This is because applying any medication to a child's skin, even over the counter products, should always be done with the parent's consent. The permission slip ensures that the parent is aware of and agrees to the application of the medication, and it also helps protect the child care provider from any liability or legal issues that may arise from applying medication without proper authorization.
25.
The 5 Rights when dispensing medication to children include?
Correct Answer
F. All listed
Explanation
The 5 Rights when dispensing medication to children include the Right Child, Right Medication, Right Dose, Right Route, and Right Time. This means that when giving medication to children, it is important to ensure that it is the correct child, the correct medication, the correct dose, the correct route of administration, and at the correct time. All of these factors are crucial to ensure the safety and effectiveness of the medication for the child.