A child has experienced several episodes of vomiting.
After the nurse reviews the need to provide only clear liquids, the parent of the child reports making clear liquid popsicles out of flavored gelatin for the child.
Which information should the nurse obtain about the popsicles?
Whether they contain pulp or fruit.
The color and flavor of gelatin used.
If the popsicles are completely frozen.
How many popsicles are available.
The Correct Answer is A
Choice A rationale
When a child is on a clear liquid diet due to vomiting, it's essential to ensure that all consumed liquids are transparent and free from solid particles. Popsicles made from flavored gelatin are typically considered acceptable because they are clear and do not contain solid pieces. However, if the popsicles contain pulp or fruit, they would no longer be classified as clear liquids and could potentially irritate the stomach, leading to further vomiting. Therefore, the nurse should inquire whether the popsicles contain pulp or fruit to ensure they adhere to the clear liquid diet guidelines.
Choice B rationale
While the color and flavor of the gelatin may affect the child's acceptance of the popsicles, they do not impact whether the popsicles are considered clear liquids.
Choice C rationale
If the popsicles are completely frozen is not relevant to the dietary restrictions. The focus should be on the ingredients and their suitability for a clear liquid diet.
Choice D rationale
The number of popsicles available does not impact their suitability for the child’s diet. The nurse should focus on the content and appropriateness of the popsicles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Verifying the placement of the pulse oximeter is the first step to ensure the accuracy of the oxygen saturation reading. An incorrect placement can lead to inaccurate readings, and addressing this issue can help determine if further interventions are needed.
Choice B rationale
Increasing the oxygen to 3 L/minute may be necessary if the oxygen saturation remains low after verifying the pulse oximeter placement. However, this should be done after ensuring the accuracy of the initial reading.
Choice C rationale
Switching to a non-rebreather mask is not the immediate action to take. Non-rebreather masks deliver a high concentration of oxygen, typically reserved for severe hypoxia. The patient’s oxygen saturation is low, but not critically low.
Choice D rationale
Removing the nasal cannula is not appropriate as it would further decrease the oxygen supply to the patient. The goal is to improve oxygenation, not reduce it.
Correct Answer is C
Explanation
Choice C rationale
Good Samaritan immunity. The Good Samaritan laws are designed to protect individuals who provide assistance at the scene of an emergency from legal liability, provided they act in good faith and within the scope of their training. In this scenario, the nurse acted to help the victim and then left the scene after EMS arrived, which is generally protected under Good Samaritan laws.
Choice A rationale
Negligent acts of omission. Negligence would require proof that the nurse failed to act in a manner consistent with their training and that this failure directly caused harm to the victim. In this case, the nurse provided assistance and then left the scene after EMS arrived, which does not constitute negligence.
Choice B rationale
Criminal assault and battery. Assault and battery involve intentional harm or offensive contact, which is not applicable in this scenario as the nurse was providing assistance.
Choice D rationale
Abandonment of the victim. Abandonment would require that the nurse left the victim without ensuring that they were in the care of another competent individual. Since the nurse left after EMS arrived, this does not constitute abandonment.
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