Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive?
- A. Pointing out errors that the nurse observes when the mother is caring for the infant
- B. Discussing negative characteristics of the infant with the mother
- C. Having the nurse provide as much of the infant's care as possible
- D. Teaching the mother about the developmental milestones to expect in the next few months
Correct Answer: D
Rationale: Teaching about developmental milestones provides anticipatory guidance, supporting parental care in nonorganic failure to thrive.
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What does the nurse expect this child to receive following gastric lavage?
- A. Activated charcoal
- B. N-Acetylcysteine
- C. Vitamin K
- D. Syrup of ipecac
Correct Answer: B
Rationale: N-Acetylcysteine is the antidote for acetaminophen poisoning, administered after gastric lavage.
What will the nurse include?
- A. Pour the prescribed amount into a nipple and have the infant suck the medication.
- B. Squirt the prescribed dose into the back of the mouth and have the infant swallow.
- C. Give the medication mixed with a small amount of juice in a bottle.
- D. Use a sterile applicator to swab the medication on the oral mucosa.
Correct Answer: D
Rationale: Swabbing nystatin on the oral mucosa with a sterile applicator ensures effective treatment of thrush.
What is the most appropriate nursing action?
- A. Delay feeding the child for 6 hours.
- B. Offer regular formula thinned with water.
- C. Give small amounts of regular formula thickened with cereal.
- D. Allow 1 ounce of glucose water at frequent intervals.
Correct Answer: D
Rationale: Small, frequent glucose water feedings post-pyloric stenosis surgery support recovery while minimizing vomiting risk.
Which statement made by a parent alerts the nurse to the need for additional education about poison prevention?
- A. I keep the poison control center phone number easily accessible.'
- B. All medication is kept out of reach in a locked cabinet.'
- C. I keep a bottle of syrup of ipecac handy.'
- D. Our garden is free from marigolds.'
Correct Answer: C
Rationale: Keeping syrup of ipecac is outdated; the AAP recommends against it due to risks of uncontrolled vomiting.
What would be included in regard to potential side effects?
- A. Diarrhea
- B. Skin rash
- C. Red stool
- D. Metallic taste
Correct Answer: C
Rationale: Pyrvinium, used for pinworm treatment, commonly causes red stools and can stain clothing.
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