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

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Rationale:

Insert a peripheral IV catheter: A peripheral IV catheter is essential for administering fluids and medications, which is critical for this adolescent, especially with the concern for bacterial meningitis.
Place the adolescent on a cooling blanket: The adolescent has a high fever (39°C), which needs to be managed promptly to prevent further complications. A cooling blanket helps reduce the fever and manage the patient’s temperature.
Administer IV acyclovir: Acyclovir is an antiviral medication typically used to treat viral infections such as herpes simplex virus or varicella-zoster virus, not bacterial meningitis. Given the CSF findings and suspected bacterial meningitis, acyclovir is not appropriate. Antibiotics like cefotaxime are indicated instead.
Place on seizure precautions: Given the adolescent's symptoms (e.g., headache, photophobia, lethargy), the risk of seizures is elevated, especially if meningitis is suspected. Seizure precautions are important to prevent injury during a potential seizure.
Keep adolescent flat in bed for 24 hr post lumbar puncture: After a lumbar puncture, keeping the adolescent flat in bed for 24 hours helps prevent post-lumbar puncture headaches and minimizes the risk of cerebrospinal fluid leaks or complications.
Administer IV cefotaxime: IV cefotaxime is an appropriate antibiotic for treating bacterial meningitis. Given the abnormal CSF results (low glucose, high protein, elevated WBC), the adolescent is at high risk for bacterial meningitis, and IV cefotaxime is expected to be part of the treatment plan.

A. "You should position the car seat at a 30-degree angle. B. "You should place a folded blanket to pad the back of the infant's head." C. "You should use a car seat with a four-point harness." D. "You should place the retainer clip at the level of the infant's armpits."

Correct Answer is D

Explanation

A. "You should position the car seat at a 30-degree angle." The correct angle for rear-facing car seats is 45 degrees. A 30-degree angle may cause the infant’s head to fall forward, increasing the risk of airway obstruction.
B. "You should place a folded blanket to pad the back of the infant's head." Extra padding behind or around the infant's head is not recommended as it may interfere with the seat’s effectiveness and safety in a crash.
C. "You should use a car seat with a four-point harness." The recommended harness system is a five-point harness, which provides more secure restraint at the shoulders, hips, and between the legs.
D. "You should place the retainer clip at the level of the infant's armpits." Correct placement of the retainer (chest) clip is at armpit level. This ensures that the harness straps stay positioned over the shoulders, reducing the risk of injury during a crash.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits For each potential provider prescription, click to specify if the prescription is expected or unexpected for the adolescent. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

A nurse is reinforcing teaching about infant car seat use with a group of new parents. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is preparing to obtain the length and weight of a 6-month-old infant during a well-child visit. Which of the following actions should the nurse plan to take? (Select all that apply.)

A nurse is preparing to administer medications to a 5-month-old infant. Exhibits Drag 1 medication and 1 infant finding to fill in each blank in the following sentence. The nurse should clarify the prescription for dropdowndue to the infant'sdropdown.

A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?

A nurse is reinforcing teaching with a parent of a 1-month-old infant who has bilateral clubfoot and is being treated with serial casting. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is reinforcing teaching about home safety with the guardians of a toddler. Which of the following statements by a guardian indicates an understanding of the teaching?

Exhibits The nurse has reviewed information regarding the adolescent's medication for home use with the guardian and adolescent. Select the 2 statements that demonstrate the guardian's understanding of their child's medication.