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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Osteoarthritis is primarily caused by the destruction of joint cartilage, which leads to pain, stiffness, and decreased mobility in the affected joints. This degenerative process is the hallmark of the condition.

B. Loss of bone mineral density is associated with osteoporosis, not osteoarthritis. While both conditions can cause joint pain, they have different underlying pathologies.

C. An infectious process in the synovial fluid would indicate septic arthritis, which is an acute and severe condition requiring different management.

D. A systemic inflammatory response is more characteristic of rheumatoid arthritis, an autoimmune condition, rather than osteoarthritis, which is a degenerative joint disease.

A. Explain the take home medications that can help the client manage anxiety. B. Review the details of the home health care plan devised by the multidisciplinary team. C. Ask the client what is frightening about leaving the hospital and returning home. D. Tell the spouse to wait outside the room so the nurse can interview the client alone.

Correct Answer is C

Explanation

A. While explaining medications for anxiety is helpful, understanding the client's specific fears is crucial for addressing their concerns effectively.

B. Reviewing the home health care plan is important but should follow addressing the client's immediate concerns and fears about going home.

C. Asking the client about their fears helps to address specific concerns and provides an opportunity to offer targeted support and reassurance.

D. While privacy is important, it is not as critical as understanding and addressing the client's fears directly.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes what pathology as the cause of the symptoms?

Correct Answer is A

Explanation

The nurse is providing discharge instructions for a client who had an above the knee amputation (AKA) and their spouse. The client expresses fear about going home and requests to stay in the hospital one more day. Which intervention is most important for the nurse to implement?

Correct Answer is C

Explanation

An older client with Type 2 diabetes reports experiencing leg pain when walking short distances, and that the pain is relieved by rest. Which client behavior indicates an understanding of healthcare teaching to promote more effective arterial circulation?

When planning care for a client with acute pancreatitis, which nursing intervention has the highest priority?

Patient Data Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

While conducting dietary teaching to the parent of an 11-month-old who was diagnosed with milk baby anemia, which food(s) should the nurse encourage the parent to offer the infant? Select all that apply.

While preparing a client's routine 0800 medications, the nurse opens the medication packaging and discards in the trash prior to scanning the barcode label. Which action should the nurse implement?