Nokea
What would be the best example provided by the nurse?
- A. Red meat
- B. Green, leafy vegetables
- C. Acidic fruit juices
- D. Egg yolks
Correct Answer: D
Rationale: Egg yolks reduce iron absorption in the digestive tract and should be limited when taking iron supplements.
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What emergency action should be implemented for airway obstruction in the infant?
- A. Six to 10 midsternal thrusts
- B. Five back blows followed by five chest thrusts
- C. Five chest thrusts followed by five back blows
- D. Abdominal thrusts until the object is expelled
Correct Answer: B
Rationale: Five back blows followed by five chest thrusts is the standard intervention for infant airway obstruction.
Which observation on entering the hospital room lets the nurse know that there is a need for the parents to receive safety education to prevent unintentional injury?
- A. The blanket is not tucked into the mattress.
- B. Diapers and wipes are stacked at the foot of the crib.
- C. The crib side is locked in the up position.
- D. Pillows are stacked on the bedside table.
Correct Answer: B
Rationale: Diapers and wipes at the crib's foot pose a suffocation risk, indicating a need for parental safety education.
How would the nurse record the infant's urine output?
- A. 47 mL
- B. 44.5 mL
- C. 43.5 mL
- D. 40.5 mL
Correct Answer: B
Rationale: Subtracting the dry diaper weight (2.5 g) from the wet diaper weight (47 g) yields 44.5 mL of urine output.
Which specific drug(s) should be checked with a second licensed nurse prior to administration?
- A. Insulin
- B. Digoxin
- C. Vasodilators
- D. Calcium salts
- E. Anticoagulants
Correct Answer: A,B,D,E
Rationale: Insulin, digoxin, calcium salts, and anticoagulants require a second nurse's verification to ensure safety due to their high-risk nature.
What position will the nurse explain the child will assume for this procedure?
- A. On your stomach with your head turned to the side.'
- B. On your side, keeping the legs bent and the head arched back.'
- C. On your back with your legs extended straight out.'
- D. On your side with the knees bent and the head close to the knees.'
Correct Answer: D
Rationale: The side-lying position with knees bent and head close to knees facilitates safe lumbar puncture.