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 C

Explanation

A. Seasonal affective disorder (SAD): While individuals with SAD experience depressive symptoms that tend to occur seasonally, typically in the winter months, the severity of symptoms is generally less severe compared to MDD. While suicide risk can still be present in individuals with SAD, it is usually lower compared to those with MDD.

B. Persistent depressive disorder (PDD): Persistent depressive disorder, formerly known as dysthymia, is characterized by chronic depressive symptoms that are less severe than those seen in MDD. While individuals with PDD may experience prolonged feelings of sadness and hopelessness, their symptoms may not reach the severity seen in MDD. Therefore, the risk of suicide may be lower in individuals with PDD compared to those with MDD.

C. Major depressive disorder (MDD): Major depressive disorder is characterized by persistent feelings of sadness, hopelessness, and worthlessness, along with a loss of interest or pleasure in activities. Individuals with MDD are at significant risk of suicide, especially if their depressive symptoms are severe. The presence of traction may exacerbate feelings of hopelessness or helplessness in individuals with MDD, further increasing the risk of suicide.

D. Premenstrual dysphoric disorder (PMDD): PMDD is a severe form of premenstrual syndrome (PMS) characterized by significant mood disturbances and other symptoms that occur in the luteal phase of the menstrual cycle. While PMDD can cause distressing symptoms, including depressive mood, irritability, and anxiety, it is typically limited to the premenstrual period and does not carry the same chronicity or severity as MDD. Therefore, the risk of suicide may be lower in individuals with PMDD compared to those with MDD.

A. Place a heated fan at the bedside to facilitate drying. B. Support the casted arm with a firm grasp. C. Tell the child, "This will make your arm feel better." D. Wrap the arm of the child's doll or toy prior to the procedure.

Correct Answer is D

Explanation

A. Place a heated fan at the bedside to facilitate drying: Using a heated fan can increase the risk of burns to the child's skin underneath the cast. The drying process for a cast should occur naturally, and artificial heat sources should not be used.

B. Support the casted arm with a firm grasp: While it's important to support the child's arm during the casting procedure, doing so with a firm grasp may not be necessary or appropriate. The nurse should follow the orthopedic surgeon's instructions regarding the positioning and support of the arm during casting.

C. Tell the child, "This will make your arm feel better": This statement may not accurately reflect the purpose of the cast, as casting is typically done to immobilize and protect the injured limb during the healing process. It's important to provide developmentally appropriate explanations to children about medical procedures, but this particular statement may not be helpful or accurate in this context.

D. Wrap the arm of the child's doll or toy prior to the procedure: This action helps familiarize the child with the procedure and can serve as a form of therapeutic play. By involving the child's toy or doll, the nurse can help reduce anxiety and fear associated with the casting procedure. It also provides an opportunity for the child to understand what will happen to their own arm, promoting a sense of familiarity and control over the situation.

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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?

Nursing Test Bank

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