Nokea
Which of the following meal choices is suitable for a 6-month-old infant?
- A. Egg white, formula, and orange juice
- B. Apple juice, carrots, and whole milk
- C. Rice cereal, formula, and apple juice
- D. Melba toast, egg yolk, and whole milk
Correct Answer: C
Rationale: Rice cereal, formula, and apple juice are appropriate for a 6-month-old, as they are easily digestible and safe. Egg whites, whole milk, and orange juice are not recommended before 1 year due to allergy and digestive risks.
You may also like to solve these questions
The nurse is teaching family members how to correctly transfer a client who has right hemiplegia from the bed to a wheelchair. Which observation indicates that the family understands how to transfer the client?
- A. The wheelchair is placed parallel to the bed on the affected side.
- B. The family members lift the client up by having her place her arms around their necks.
- C. The wheelchair is placed at a 45-degree angle to the bed on the client's unaffected side.
- D. The family members ask for a trapeze bar for the client to use in the transfer.
Correct Answer: C
Rationale: Placing the wheelchair at a 45-degree angle on the unaffected side allows the client to pivot using their stronger left side, ensuring a safe transfer. Affected-side placement or neck lifting is unsafe, and a trapeze is unnecessary.
The nurse is caring for a client with a history of myasthenia gravis.
- A. Which instruction is most important for a client with myasthenia gravis?
- B. Take pyridostigmine on an empty stomach.
- C. Avoid crowds to prevent infections.
- D. Restrict physical activity completely.
- E. Monitor blood pressure daily.
Correct Answer: B
Rationale: Avoiding crowds reduces infection risk, critical in myasthenia gravis due to immunosuppressive therapy. Pyridostigmine is taken with food, activity is encouraged, and blood pressure monitoring is not primary.
A client has been receiving chlorpromazine (Thorazine) 400 mg/day for four weeks. He experiences an oral temperature of 105°F (40.5°C), severe rigidity, oculogyric crisis, and severe hypertension. It is MOST important for the nurse to take which of the following actions?
- A. Administer PRN benztropine mesylate (Cogentin) immediately.
- B. Hold the chlorpromazine and notify the medical staff stat.
- C. Place the client in isolation on bedrest in semi-Fowler's position.
- D. Administer acetaminophen 500 mg and place the client on a cooling mattress.
Correct Answer: B
Rationale: Symptoms indicate neuroleptic malignant syndrome, a life-threatening reaction to chlorpromazine. Holding the drug and notifying staff is critical. Options A, C, and D address symptoms but not the cause.
Which individual is at greatest risk for developing hypertension?
- A. 45 year-old African American attorney
- B. 60 year-old Asian American shop owner
- C. 40 year-old Caucasian nurse
- D. 55 year-old Hispanic teacher
Correct Answer: A
Rationale: 45 year-old African American attorney. The incidence of hypertension is greater among African Americans than other groups in the US. The incidence among the Hispanic population is rising.
An adult man believes that someone is poisoning his food. What is the best nursing action in response to this belief?
- A. Explain to him that no one is poisoning his food
- B. Tell him that the food is prepared in the hospital under secure conditions
- C. Taste his food to assure him that it is not being poisoned
- D. Offer him food that is in individual containers
Correct Answer: D
Rationale: Offering individually packaged food addresses the delusion non-confrontationally, reducing anxiety. Explaining, assuring, or tasting may escalate distrust.