A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux.
Which of the following instructions should the nurse include?
"Dilute formula with 1 tablespoon of water."
"Position the newborn at a 20-degree angle after feeding."
"Provide a small feeding just before bedtime."
Place the newborn in a side-lying position if vomiting."
The Correct Answer is B
A. Diluting formula with water can decrease the calorie and nutrient content of the formula and is not typically recommended for infants with gastroesophageal reflux.
B. Positioning the newborn at a 20-degree angle after feeding can help reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.
C. Providing a small feeding just before bedtime may increase the risk of gastroesophageal reflux and should be avoided.
D. Placing the newborn in a side-lying position if vomiting is not recommended due to the risk of aspiration. Infants should be placed on their back to sleep to reduce the risk of sudden infant
death syndrome (SIDS).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A low-carbohydrate diet may not provide the necessary energy and nutrients required for optimal wound healing. Carbohydrates are important for providing energy for cellular processes involved in tissue repair and regeneration.
B. A high-nutrient diet, rich in vitamins, minerals, proteins, and healthy fats, is essential for promoting wound healing. Adequate intake of nutrients such as vitamin C, vitamin A, zinc, and protein is particularly important for supporting collagen synthesis, immune function, and tissue repair.
C. A high-cholesterol diet is not specifically indicated for promoting wound healing and may be associated with other health risks such as cardiovascular disease.
D. While excessive sodium intake can contribute to fluid retention and edema, a low-sodium diet is not specifically indicated for promoting wound healing unless the client has conditions such as congestive heart failure or hypertension where sodium restriction is necessary to manage fluid balance.
Correct Answer is D
Explanation
A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.
B. Lactulose is typically administered orally or rectally, not intravenously.
C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.
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