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).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.
Correct Answer is C
Explanation
A. While it is possible for individuals following a vegan diet to be deficient in magnesium if they do not consume enough plant-based sources, deficiencies in vitamin D are more common due to limited dietary sources and reduced exposure to sunlight.
B. Vitamin C deficiency is rare in individuals following a vegan diet, as many fruits and vegetables are good sources of this nutrient.
C. Vitamin D deficiency is common in individuals following a vegan diet, as the primary dietary sources of vitamin D are animal products such as fatty fish, eggs, and fortified dairy products. Vegans may need to rely on fortified foods or supplements to meet their vitamin D needs.
D. Folic acid deficiency is not typically associated specifically with a vegan diet. However, individuals following any type of restrictive diet should ensure they are consuming adequate amounts of folate-rich foods or consider supplementation if necessary.
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