A nurse is educating a parent of an infant diagnosed with gastroesophageal reflux. Which statement from the parent shows they have understood the teaching?
“I will need to feed my baby with formula instead of breast milk.”.
“I should position my baby on their side during sleep.”.
“I will keep my baby in an upright position after feedings.”.
“I can thicken my baby’s formula with oatmeal.”.
The Correct Answer is C
Choice A rationale
While formula feeding is not contraindicated in infants with gastroesophageal reflux (GER), it is not necessary to switch from breast milk to formula. Both breast milk and formula can be used in infants with GER56.
Choice B rationale
Positioning the baby on their side during sleep is not recommended. This position does not help with GER and can increase the risk of sudden infant death syndrome.
Choice C rationale
Keeping the baby in an upright position after feedings can help reduce the symptoms of GER. Gravity helps keep the stomach contents down and prevents them from flowing back into the esophagus.
Choice D rationale
Thickening the baby’s formula with oatmeal is sometimes recommended for infants with GER. However, this should only be done under the guidance of a healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Negligence refers to conduct that falls below the standard established by law for the protection of others against unreasonable risk of harm. A nurse leaving her shift early without notifying the charge nurse could be considered negligent if it results in harm to a patient.
Choice B rationale
Battery refers to the intentional and offensive or harmful touching of another person without their consent. This does not apply to the scenario provided.
Choice C rationale
Slander involves making false spoken statements that damage a person’s reputation. This does not apply to the scenario provided.
Choice D rationale
Libel involves making false written statements that damage a person’s reputation. This does not apply to the scenario provided.
Correct Answer is B
Explanation
Choice A rationale
Phosphate levels are not directly affected by spironolactone. Spironolactone is a potassium- sparing diuretic and does not typically affect phosphate levels.
Choice B rationale
Decreased potassium level is not typically expected in a patient taking spironolactone. Spironolactone is a potassium-sparing diuretic, meaning it can actually lead to increased potassium levels. However, in the context of liver failure and ascites, other factors may influence potassium levels.
Choice C rationale
Chloride levels are not directly affected by spironolactone. Spironolactone primarily affects the balance of potassium and sodium in the body.
Choice D rationale
Sodium levels could potentially be decreased in a patient taking spironolactone, as it can cause the body to lose sodium. However, in the context of liver failure and ascites, sodium levels are often carefully managed.
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