A nurse is reinforcing teaching about introducing solid foods with the parents of a 6-month old infant who is bottle-fed. Which of the following information should the nurse include?
- A. You should use canned fruits and vegetables to introduce your baby to solid foods.
- B. You should introduce one new food to your baby every 5 to 7 days.
- C. You should introduce a new food by giving your baby 3 to 4 tablespoons.
- D. You should add rice cereal to a bottle before introducing your baby to solid foods.
Correct Answer: B
Rationale: Introducing one food every 5-7 days helps identify allergies. Fresh foods are preferred, initial amounts are smaller, and cereal in bottles risks choking.
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A nurse is assisting with providing care for an adolescent client who has neuropathic pain. Which of the following medications should the nurse anticipate administering?
- A. Oxycodone
- B. Gabapentin
- C. Acetaminophen
- D. Duloxetine
Correct Answer: B
Rationale: Gabapentin is effective for neuropathic pain by modulating nerve activity. Oxycodone and acetaminophen are less specific, and duloxetine is not first-line for adolescents.
A nurse is contributing to the plan of care for a preschooler who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse recommend?
- A. Maintain clean technique during the child's dressing changes.
- B. Provide low-calorie snacks for the child three to four times each day between meals.
- C. Allow the child to set their own daily schedule for wound care.
- D. Ensure the child receives pain medication 30 to 45 min prior to therapy.
Correct Answer: D
Rationale: Pain medication 30-45 minutes before therapy manages pain during dressing changes or therapy. Clean technique is standard but not specific to pain, low-calorie snacks are irrelevant, and a child setting their own schedule is unsafe.
A nurse is reinforcing teaching with the parent of a 15-month-old toddler about nutritional guidelines. Which of the following statements by the parent indicates an understanding of the teaching?
- A. My child will be constipated if they drink more than 6 ounces of juice a day.
- B. My child's intake of calcium should average 500 milligrams every day.
- C. My child should consume 1,500 to 1,800 calories each day by the time they turn 2.
- D. My child's appetite will increase suddenly when they turn 18 months old.
Correct Answer: B
Rationale: A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Excessive juice does not cause constipation but can reduce appetite for other foods. Toddlers need approximately 1,000 to 1,300 calories per day, so 1,500-1,800 calories is excessive. There is no specific age-related sudden appetite increase at 18 months.
A nurse is contributing to a plan of care for a 24-month-old toddler. Which of the following actions should the nurse take?
- A. Allowing the toddler to button up their own shirt
- B. Asking the toddler questions that have 'yes' or 'no' answers
- C. Providing the toddler with opportunities to share toys with others
- D. Making sure the toddler has at least one nap during the day
Correct Answer: D
Rationale: Ensuring a nap supports rest and development. Buttoning shirts, yes/no questions, and sharing toys are beneficial but not the priority over rest for a toddler's well-being.
A nurse is assisting with the care of an infant who is postoperative following surgical repair of a cleft lip and palate. Which of the following action should the nurse plan to take?
- A. Gently rub betadine on the infant's incisions to prevent infection.
- B. Place the infant in a prone position for 1 hr to facilitate drainage of secretions.
- C. Weigh the infant once each day using the same scale.
- D. Suction the infant's nose and mouth using an in-line device on the lowest setting.
Correct Answer: C
Rationale: Daily weighing monitors fluid status post-surgery. Betadine risks irritation, prone positioning may obstruct airways, and suctioning could harm the surgical site.
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