A nurse is caring for an infant who is drinking a cow's milk formula and has bloody stools.
Which of the following recommendations should the nurse make to the infant's guardian?
Switch to a soy-based formula.
Switch to a goat's milk formula.
Switch to an unpasteurized milk formula.
Switch to a condensed milk formula.
The Correct Answer is A
A. Switch to a soy-based formula: Bloody stools in infants can be indicative of a cow's milk protein allergy or intolerance. Switching to a soy-based formula may alleviate symptoms in such cases.
B. Switch to a goat's milk formula: Goat's milk is not recommended for infants as it lacks essential nutrients and can lead to nutritional deficiencies and other health issues.
C. Switch to an unpasteurized milk formula: Unpasteurized milk poses a risk of bacterial contamination and is not recommended, especially for infants who are more susceptible to infections.
D. Switch to a condensed milk formula: Condensed milk is not suitable as a primary source of nutrition for infants and does not address the potential underlying issue of cow's milk intolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. This response dismisses the client's concerns and does not acknowledge the distress the client may be experiencing.
B. Incorrect. While it's true that paranoia is a common symptom of schizophrenia, stating that it is "normal" may invalidate the client's feelings and does not address the underlying distress. C. Correct. This response validates the client's feelings and demonstrates empathy by acknowledging the distress associated with the belief that government agents are after them.
D. Incorrect. While medication management is important in the treatment of schizophrenia, this response does not address the client's immediate concerns or validate their feelings of persecution.
Correct Answer is C
Explanation
Choice A Rationale: Pulling the auricle upward and outward is typically recommended for children or infants due to the position of their ear canals. In adults, this method may not align the ear canal properly, making it difficult to administer the medication effectively.
Choice B Rationale: Pulling the auricle downward and backward is not recommended for adults as it can cause the ear canal to narrow, which may hinder the proper administration of the otic suspension and could potentially cause discomfort.
Choice C Rationale: Pulling the auricle upward and backward is the correct method for adults. This technique straightens the ear canal, allowing for easier administration of the medication and ensuring that the medication reaches the eardrum effectively.
Choice D Rationale: Pulling the auricle downward and outward is not the correct method for adults as it does not straighten the ear canal, which could prevent the medication from being properly administered and may not reach the treatment area effectively.
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