A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn.
Which of the following statements by the client indicates an understanding of the teaching?

"I can keep a can of concentrated formula in the refrigerator for 3 days after I open it.”

"I can dilute the ready-to-feed formula with water when my baby wants more than 4 ounces at a feeding.”

"I should boil tap water for 2 minutes and cool it before I mix it with the powdered formula.”

"I will be sure that all of my bottles contain BPA.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Keeping a can of concentrated formula in the refrigerator for 3 days after opening it is not safe. Once a can of formula is opened, it should be used within 24 hours and stored in the refrigerator. After 24 hours, any leftover formula should be discarded to prevent the risk of bacterial contamination.

Choice B rationale:

Diluting ready-to-feed formula with water is incorrect. Ready-to-feed formula is already prepared and does not need to be diluted further. Adding water to ready-to-feed formula can dilute its nutritional content and may not provide the necessary nutrients for the baby.

Choice C rationale:

Boiling tap water for 2 minutes and cooling it before mixing it with powdered formula is the correct method for safe formula preparation. Boiling the water kills harmful bacteria and ensures the formula is safe for the baby to consume. It is essential to cool the boiled water before mixing it with powdered formula to reach an appropriate feeding temperature.

Choice D rationale:

Ensuring that all bottles contain BPA (bisphenol A) is not a relevant consideration for formula preparation. BPA is a chemical that was previously used in some plastics, including baby bottles, but has been banned in baby bottles and sippy cups in several countries due to its potential health risks. Most modern baby bottles are BPA-free, and this statement does not address the safe handling and preparation of formula for the baby.

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Correct Answer is B

Explanation

- A: Incorrect. Decreased blood pressure is not an indication of chlorpromazine effectiveness, but rather a potential adverse effect that should be monitored and reported.

- B: Correct. Decreased hallucinations are an indication of chlorpromazine effectiveness, as this medication is an antipsychotic that blocks dopamine receptors in the brain and reduces psychotic symptoms such as hallucinations, delusions, and paranoia.

- C: Incorrect. Decreased cholesterol is not an indication of chlorpromazine effectiveness, but rather a potential benefit that may occur due to its effect on lipid metabolism.

- D: Incorrect. Decreased esophageal reflux is not an indication of chlorpromazine effectiveness, but rather a potential adverse effect that should be avoided by taking the medication with food or water and avoiding lying down after administration.

A. Assess the apical pulse while the newborn is crying B. Palpate the radial pulse for 30 seconds C. Listen to the apical pulse while palpating the radial pulse D. Auscultate the apical pulse at least 1 min

Correct Answer is D

Explanation

A is incorrect because assessing the apical pulse while the newborn is crying can result in an inaccurate measurement due to increased heart rate and respiratory rate.
B is incorrect because palpating the radial pulse for 30 seconds is not appropriate for a newborn as it can be difficult to locate and count accurately.
C is incorrect because listening to the apical pulse while palpating the radial pulse is not necessary for a newborn and can be confusing and time-consuming.
D is correct because auscultating the apical pulse at least 1 min is the best way to assess a newborn's heart rate as it provides an accurate and reliable measurement.

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A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn.Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following findings should the nurse identify as an indication that the medication is effective?

Correct Answer is B

Explanation

A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn.
Which of the following statements by the client indicates an understanding of the teaching?