A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?

Encourage the family to be with the child during mealtimes.

Instruct the family to praise the child when they eat.

Obtain the child's dietary history.

Offer the child nutritious snacks between meals.

Answer and Explanation

The Correct Answer is C

A. Encourage the family to be with the child during mealtimes. While having family present can provide support and create a positive mealtime atmosphere, it is not the first step in addressing poor dietary intake. Understanding the underlying reasons for the child's poor intake is more critical initially.
B. Instruct the family to praise the child when they eat. Encouraging praise can help create a positive association with eating, but this action is more effective after understanding the child's dietary habits and preferences.
C. Obtain the child's dietary history. Obtaining the child's dietary history is the most important first step. This allows the nurse to identify specific concerns, such as food preferences, patterns of intake, and any potential food allergies or intolerances. Understanding the child's current dietary habits is essential for developing an effective plan to improve nutritional intake.
D. Offer the child nutritious snacks between meals. Offering nutritious snacks can help increase caloric intake, but this should be done after assessing the child's dietary history to ensure that the snacks are appropriate and tailored to the child's needs and preferences.

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Correct Answer is C

Explanation

A. Recommend the client spend time alone in his room. Social isolation can worsen depressive symptoms by increasing feelings of loneliness and hopelessness. Clients with major depressive disorder benefit from structured activities and social engagement, which help improve mood and prevent withdrawal.
B. Offer the client low-protein snacks throughout the day. Clients with depression may experience changes in appetite and energy levels, but protein is essential for neurotransmitter function and overall health. Instead of low-protein snacks, balanced meals with adequate nutrients should be encouraged to support physical and mental well-being.
C. Encourage the client to use positive self-talk. Negative thought patterns contribute to depressive symptoms, and cognitive-behavioral strategies such as positive self-talk help clients challenge and replace negative beliefs. Encouraging the client to engage in self-affirming statements can improve self-esteem and foster a more positive outlook.
D. Suggest the client exercise before going to bed. While exercise is beneficial for mood regulation and depression management, engaging in physical activity right before bedtime can lead to increased alertness, potentially disrupting sleep. Exercise is best scheduled earlier in the day to maximize its mood-enhancing and sleep-promoting effects.

A. Ensure that the client gave informed consent. B. Administer an oral contrast solution. C. Ensure that the client's bladder is full. D. Inform the client the procedure will take 60 min.

Correct Answer is A

Explanation

A. Ensure that the client gave informed consent. Confirming that the client has provided informed consent is a critical step before any invasive procedure, including an esophagogastroduodenoscopy (EGD). The nurse should ensure that the client understands the procedure, its risks, benefits, and any alternatives before the procedure begins.
B. Administer an oral contrast solution. Oral contrast is typically not used for an EGD, as the procedure involves direct visualization of the esophagus, stomach, and duodenum. Instead, the client may need to follow specific dietary restrictions prior to the procedure, such as fasting.
C. Ensure that the client's bladder is full. A full bladder is not required for an EGD. In fact, it is more important for the client to be in a comfortable position and relaxed during the procedure. An empty stomach is preferred to reduce the risk of aspiration.
D. Inform the client the procedure will take 60 min. While informing the client about the duration of the procedure is important, the exact time can vary. Providing a range or informing the client that the procedure may take some time is more appropriate, as it helps manage expectations without causing unnecessary anxiety.

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A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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