A 2-month-old infant with hypertrophic pyloric stenosis is receiving parenteral fluids for rehydration and decompression of the stomach while waiting for surgical repair. To maintain normal growth and development of the child during this period, which action should the nurse include in the plan of care?

Ensure placement of the nasogastric tube with an abdominal x-ray.

Use sterile water for gastric lavage.

Offer a pacifier for non-nutritive sucking.

Speak to the healthcare provider about instituting physical therapy.

Answer and Explanation

The Correct Answer is C

A. Ensuring the correct placement of the nasogastric tube with an abdominal x-ray is important for treatment but does not address the infant's developmental needs.

B. Using sterile water for gastric lavage may be necessary for stomach decompression but does not directly support the infant's growth and development.

C. Offering a pacifier for non-nutritive sucking provides comfort and helps maintain the infant’s sucking reflex, which is crucial for feeding and oral development.

D. Physical therapy is not relevant for a 2-month-old infant with hypertrophic pyloric stenosis and does not address immediate developmental needs.

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Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A. Urinate every 4 to 6 hours or when you first feel the urge: Regular urination helps prevent bladder overdistention and can reduce the risk of urinary retention and incontinence episodes.

B. Decrease fluid intake to lessen the severity of symptoms: While it might seem logical to reduce fluid intake to decrease urinary frequency, it is essential to maintain adequate hydration. Instead, fluid intake should be managed appropriately, avoiding large volumes at one time, particularly in the evening.

C. Limit your intake of alcohol and caffeine: Alcohol and caffeine can irritate the bladder and increase urinary frequency and urgency, exacerbating BPH symptoms.

D. Refrain from exercise because it can lead to incontinent episodes: Exercise is beneficial for overall health and can help manage weight, which is important for BPH management. Clients should be encouraged to exercise regularly.

E. Avoid cough or cold remedies that contain pseudoephedrine or phenylephrine: These medications can constrict the urethra, worsening urinary retention and other BPH symptoms.

F. Schedule yearly prostate-specific antigen blood test: While monitoring PSA levels can be part of managing prostate health, it is not specific to daily living with symptomatic BPH and thus not one of the top three areas of education in this context.

Correct Answer is ["41.7"]

Explanation

Step 1: Convert grams to milligrams

The prescribed dose is 5 grams (g) daily.

1 gram (g) = 1,000 milligrams (mg)
5 g = 5,000 mg daily

Step 2: Determine the dose per administration

The medication is to be given every 8 hours, meaning the total daily dose is divided into three equal doses:

5,000mg/3=1,666.67mgperdose

Step 3: Use the medication concentration to find the volume

The available suspension is 200 mg per 5 mL. Using the ratio formula:

200mg/5mL=1,666.67mg/XmL

Solve for X:

X=1,666.67×5/200

X=8,333.35/200=41.67mL

Answer: 41.7 mL (Rounded off to the nearest tenth)

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Naxlex Comprehensive Predictor Exams

Exhibits The nurse educates the client about living with benign prostate hyperplasia (BPH). Select the 3 areas of teaching that should be included when providing education to the client with symptomatic benign prostate hyperplasia.

Correct Answer is ["A","C","E"]

Explanation

Correct Answer is ["41.7"]

Explanation

Step 1: Convert grams to milligrams

Step 2: Determine the dose per administration

Step 3: Use the medication concentration to find the volume

Answer: 41.7 mL (Rounded off to the nearest tenth)

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

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The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?

In caring for a client following a head injury, the nurse plans to assess for rhinorrhea so that a sample can be tested for the presence of cerebrospinal fluid (CSF). At which location should the nurse observe for this finding? (Click the chosen location. To change, click on the new location.)

Patient Data Exhibits The nurse reviews the prescriptions and assessment data. Click to indicate which interventions could help reduce symptoms if added to the plan of care. Each row must have one response option selected.