Nokea
The healthcare provider is preparing a teaching plan for the parents of a 6-month-old infant with GERD. What instruction should the healthcare provider include when teaching the parents measures to promote adequate nutrition?
- A. Alternate glucose water with formula
- B. Mix the formula with rice cereal
- C. Add multivitamins with iron to the formula
- D. Use water to dilute the formula
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her RR and HR have increased during the last hour. Which intervention should the nurse implement?
- A. Notify the healthcare provider of these findings
- B. Administer a PRN analgesic as prescribed
- C. Document the findings in the infant's medical record
- D. Comfort the infant by swaddling and gently rocking
Correct Answer: A
Rationale: In a postoperative neonatal setting, an increase in respiratory rate (RR) and heart rate (HR) in an infant could indicate pain or distress. It is crucial for the nurse to notify the healthcare provider promptly to assess the infant's condition and provide appropriate interventions. Prompt communication with the healthcare provider ensures timely evaluation and management of the infant's discomfort or distress, promoting optimal postoperative recovery and comfort.
A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain?
- A. Understanding of the quality control process used to troubleshoot the pump
- B. Interpretation of fingerstick glucose levels that influence diet selections
- C. Knowledge of her glycosylated hemoglobin A1c levels for the past year
- D. Ability to perform the pump for basal insulin with mealtime boluses
Correct Answer: A
Rationale: In a patient transitioning to an insulin pump, understanding the quality control process to troubleshoot the pump is essential for ensuring proper and safe management of diabetes. This knowledge enables the individual to identify and address any issues that may arise with the pump, helping maintain optimal glycemic control and prevent complications.
A 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?
- A. Describe the side-lying, knees-to-chest position that must be assumed during the procedure.
- B. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours after the procedure.
- C. Reassure the child that there will be no restrictions on activity after the procedure is completed.
- D. Tell the child to expect loud clicking noises during the procedure that may be slightly annoying.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which drink choice on a hot day indicates to the healthcare provider that a teenager with sickle cell anemia understands dietary considerations related to the disease?
- A. Milkshake
- B. Iced tea
- C. Diet cola
- D. Lemonade
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The infant scheduled for reduction of intussusception passes a soft-formed brown stool the day before the scheduled procedure. Which intervention should the nurse implement?
- A. Instruct the parents that the infant needs to be NPO.
- B. Notify the healthcare provider of the passage of brown stool.
- C. Obtain a stool specimen for laboratory analysis.
- D. Ask the parents about recent changes in the infant's diet.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.