A nurse is reinforcing teaching with a parent of a 3-month-old infant who is breastfed and has acute diarrhea. Which of the following nutrients should the nurse recommend the parent feed the infant? (Select all that apply.)
Oral rehydration solution
Breast milk
Chicken broth
Clear soda
Apple juice
Correct Answer : A,B
A. Oral rehydration solution: Oral rehydration solutions (ORS) are recommended to replace lost fluids and electrolytes during episodes of diarrhea. They help prevent dehydration, which is a common complication in infants with diarrhea.
B. Breast milk: Breast milk is the best option for a breastfed infant during an episode of diarrhea. It provides essential nutrients and hydration, as well as antibodies that can help protect against infections and improve recovery.
C. Chicken broth: Chicken broth is not recommended for infants under 6 months old due to its high sodium content and lack of essential nutrients for young infants. It could potentially cause electrolyte imbalances.
D. Clear soda: Clear soda should be avoided, as it contains high levels of sugar and can worsen dehydration. It does not provide the necessary electrolytes and fluids needed to rehydrate an infant.
E. Apple juice: Apple juice is not recommended for infants with diarrhea, as it can contribute to diarrhea due to its high sugar content, particularly fructose, which can draw water into the intestines and worsen dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Monitor vital signs every 8 hr: Vital signs should be monitored more frequently in a child with diabetic ketoacidosis (DKA) than every 8 hours. Monitoring every 1-2 hours is typically recommended in order to detect any signs of deterioration or complications early.
B. Initiate continuous cardiac monitoring: Cardiac monitoring is important in the management of DKA because the condition can lead to electrolyte imbalances (especially hypokalemia), which can affect heart rhythm and potentially cause arrhythmias.
C. Administer subcutaneous insulin 30 min before meals: In SKA, insulin should not be administered subcutaneously until the child’s condition is stabilized, as intravenous (IV) insulin is typically used initially to correct acidosis and hyperglycemia in DKA.
D. Implement fluid restrictions: Fluid restrictions are not appropriate in DKA. Aggressive fluid resuscitation is necessary to correct dehydration and restore proper electrolyte balance. Fluid restrictions could worsen dehydration and acidosis.
Correct Answer is C
Explanation
A. Prolonged crying: Prolonged crying can occur after an immunization, especially in infants, but it is generally not an immediate cause for concern unless accompanied by other symptoms such as difficulty breathing or skin changes.
B. Temperature 37.7° C (99.9° F): A mild fever is a common side effect after immunizations and is usually not a cause for immediate concern. A temperature of 37.7°C (99.9°F) is within a normal range and typically resolves on its own.
C. Hives on the child's neck: Hives (urticaria) can indicate an allergic reaction, which could potentially be a serious response to the immunization. An allergic reaction requires immediate attention and intervention, as it may progress to more severe symptoms such as difficulty breathing or anaphylaxis.
D. Redness at the injection site: Redness at the injection site is a common and expected reaction following an immunization. It is generally not a cause for concern unless it is accompanied by severe swelling, pain, or other signs of infection.
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