A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

Give the infant a bottle immediately before the infant's bedtime.

Change the infant's formula to a soy-based formula.

Keep the infant at a 30° angle for 1 hr following each feeding.

Limit the infant's formula feedings to every 6 hr.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Giving the infant a bottle immediately before bedtime can actually exacerbate gastroesophageal reflux, as lying down right after feeding can increase the likelihood of regurgitation.

Choice B reason:

Switching to a soy-based formula is not the first-line intervention for gastroesophageal reflux. Additionally, soy-based formulas are not recommended for all infants and should be used under specific circumstances.

Choice C reason:

This statement is correct. Keeping the infant at a 30° angle for 1 hour following each feeding can help reduce the likelihood of gastroesophageal reflux. This position helps gravity keep the stomach contents from flowing back up into the esophagus.

Choice D reason:

Limiting formula feedings to every 6 hours may not be appropriate for a 2-month-old infant, as they typically require more frequent feedings for proper growth and development.

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Correct Answer is B

Explanation

Choice A reason:

Cold compresses may exacerbate vaso-occlusion in a client with sickle cell anemia and are not recommended.

Choice B reason:

Maintaining bed rest can help reduce the risk of hypoxemia, as it minimizes energy expenditure and oxygen demand.

Choice C reason:

Increasing oral fluid intake is important for preventing vaso-occlusive crises, so decreasing fluid intake is not a recommended intervention.

Choice D reason:

Administering meperidine for fever is not a standard intervention for sickle cell anemia. Fever during a vaso-occlusive crisis should be evaluated and treated according to the underlying cause.

A. Place a urine collection device on the infant until the specimen is obtained. B. Obtain the specimen by swabbing the infant's rectum using a sterile culture swab. C. Maintain the specimen at room temperature after collection until it is transferred to the lab. D. Transfer the specimen to the collection container using povidone-iodine-soaked gauze.

Correct Answer is B

Explanation

Choice A reason:

Placing a urine collection device on the infant is not an appropriate method for collecting a stool specimen.

Choice B reason:

Obtaining the specimen by swabbing the infant's rectum using a sterile culture swab is the correct method for collecting a stool specimen from an infant.

Choice C reason:

Maintaining the specimen at room temperature is appropriate after collection until it is transferred to the lab. This is standard procedure for many specimens.

Choice D reason:

Using povidone-iodine-soaked gauze is not a standard method for transferring a stool specimen to the collection container.

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A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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