A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?

Half-strength infant formula

Sterile water

Oral electrolyte solution

Half-strength orange juice

Answer and Explanation

The Correct Answer is C

A. Half-strength infant formula: Infant formula, even if diluted, may not be appropriate immediately after a repair of intussusception. It may be too heavy for the infant's digestive system, potentially leading to complications. Clear fluids are usually preferred initially.

B. Sterile water: Sterile water is not typically recommended for oral intake in infants after a repair of intussusception. It lacks essential electrolytes needed to maintain proper hydration and electrolyte balance.

C. Oral electrolyte solution: Oral electrolyte solutions, such as Pedialyte, are often recommended for infants after a repair of intussusception. These solutions contain balanced electrolytes and fluids, which help prevent dehydration and restore electrolyte balance.

D. Half-strength orange juice: Orange juice, even if diluted, is not typically recommended immediately after a repair of intussusception. It may be too acidic and may cause gastrointestinal discomfort or irritation in the infant. Clear fluids are preferred initially to allow the gastrointestinal tract to rest and recover.

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Correct Answer is A

Explanation

A. Provide a small electronic toy.

Providing a small electronic toy can engage the infant's senses and promote cognitive development. Interactive toys can stimulate the infant's curiosity, encourage exploration, and provide sensory stimulation, which are important aspects of infant development. However, the selection of toys should consider safety and age appropriateness, ensuring they do not pose a choking hazard or contain small parts that the infant could ingest.

B. Change the infant's diaper as soon as soiling occurs.

Changing the infant's diaper promptly when soiling occurs is essential for maintaining hygiene and preventing skin irritation or infection. However, while diaper changes are necessary for the infant's comfort and well-being, they primarily address basic needs rather than directly promoting growth and development related to the hip dysplasia.

C. Allow the infant to stand in the crib.

Allowing the infant to stand in the crib may not be suitable, especially if the infant is in a cast for developmental dysplasia of the hip (DDH). The cast is typically intended to maintain the hip joint in a specific position to promote proper alignment and development. Allowing the infant to stand in the crib could compromise the effectiveness of the treatment and potentially exacerbate the hip dysplasia. Therefore, this option is not appropriate.

D. Tie colorful latex balloons to the side of the crib.

Tying colorful latex balloons to the side of the crib is not recommended due to safety concerns. Latex balloons pose a choking hazard if they deflate or rupture, and the infant could accidentally ingest the latex material, leading to airway obstruction or other complications. Safety is paramount in infant care, and any potential hazards should be avoided.

A. "You have a great deal to live for." B. "It's not unusual for depressed people to feel that way." C. "You've been feeling that your life has no meaning." D. "Why do you feel you are worthless?"

Correct Answer is C

Explanation

A. "You have a great deal to live for."

While this response is supportive and positive, it may not effectively address the client's feelings of worthlessness. It may come across as dismissive or invalidating of the client's emotions.

B. "It's not unusual for depressed people to feel that way."

This response acknowledges the commonality of feeling worthless among individuals with depression. While it normalizes the client's experience, it doesn't directly address the client's statement or offer support.

C. "You've been feeling that your life has no meaning."

This response reflects active listening and demonstrates empathy by paraphrasing the client's statement to show understanding. It acknowledges the client's feelings and opens the door for further exploration of the underlying issues contributing to their sense of worthlessness.

D. "Why do you feel you are worthless?"

While this response seeks to explore the underlying reasons for the client's feelings, it may come across as confrontational or judgmental. It puts the client on the spot to justify their emotions, which could make them feel defensive or invalidated.

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A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?

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