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A nurse is caring for a 3-month-old infant who has a cleft of the soft palate.
Which of the following actions should the nurse take?

Discontinue feeding if the infant's eyes become watery.

Postpone burping the infant until after completing each feeding.

Elevate the infant's head to a 10° angle during feedings.

Feed the infant 177.4 mL (6 oz) of formula three times each day.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Elevate the infant’s head to a 10° angle during feedings.

This position can help prevent milk from coming out of the infant’s nose and reduce the risk of choking.

Choice A is wrong because watery eyes are not an indication to discontinue feeding.

Choice B is wrong because babies with cleft palate should be burped more frequently, but not so often as to interrupt good feeding behaviors.

Choice D is wrong because the amount of formula an infant needs varies and should be determined by a pediatrician.

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Correct Answer is A

Explanation

An allergy to neomycin is a contraindication for receiving the MMR vaccine.

Choice Bis wrong because a family history of seizures is not a contraindication for receiving the MMR vaccine.

Choice Cis wrong because an upper respiratory infection 2 days ago is not a contraindication for receiving the MMR vaccine.

Choice Dis wrong because a temperature of 37.2°C (99°F) is not a contraindication for receiving the MMR vaccine.

A. Creatinine.4 mg/dL. B. Creatinine 0.3 mg/dL. C. BUN 12 mg/dL. D. BUN 6 mg/dL.

Correct Answer is A

Explanation

Choice A: Gentamicin is an aminoglycoside antibiotic that can cause nephrotoxicity. Nephrotoxicity refers to kidney damage and can be demonstrated by rising serum creatinine levels. A creatinine level of 1.4 mg/dL is higher than the normal range and may indicate impaired kidney function 2.

Choice B is wrong because Creatinine 0.3 mg/dL is not an answer because it falls within the normal range for creatinine levels.

Choice C is wrong because BUN 12 mg/dL is not an answer because it falls within the normal range for BUN levels.

Choice D is wrong because BUN 6 mg/dL is not an answer because it falls within the normal range for BUN levels.

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A nurse is caring for a 3-month-old infant who has a cleft of the soft palate. Which of the following actions should the nurse take?

Nursing Test Bank

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A nurse is caring for a 3-month-old infant who has a cleft of the soft palate.
Which of the following actions should the nurse take?