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 A

Explanation

A. Baked chicken breast is relatively low in potassium compared to other options. A 3-ounce serving of baked chicken typically contains around 250-300 mg of potassium, making it a suitable choice for someone needing to limit their potassium intake due to an electrolyte imbalance.
B. Sweet potato is high in potassium, with a medium-sized sweet potato containing about 440 mg or more. This makes sweet potatoes an unsuitable choice for clients who need to monitor their potassium levels, especially in the case of hyperkalemia.
C. Orange juice is also high in potassium, with a single cup containing approximately 450 mg. Therefore, orange juice is not recommended for clients with potassium restrictions, as excessive potassium can lead to serious health complications.
D. Cantaloupe is another food that is high in potassium. A typical serving of cantaloupe contains around 400 mg of potassium, making it inappropriate for individuals who need to maintain low potassium levels. Thus, it is essential to choose foods that are lower in potassium to help manage electrolyte imbalances effectively.

A. "The headaches should decrease as you get used to the medication." B. "You can discontinue the medication until the headache goes away." C. "Swallow the tablet whole to minimize your headaches." D. "You should take the medication on an empty stomach to prevent a headache."

Correct Answer is A

Explanation

A. "The headaches should decrease as you get used to the medication." Isosorbide dinitrate is a nitrate that causes vasodilation, leading to headaches due to increased blood flow and vessel expansion. These headaches are common, especially when starting therapy, but usually diminish as the body adjusts. Clients can use mild analgesics, such as acetaminophen, if needed.
B. "You can discontinue the medication until the headache goes away." Stopping isosorbide dinitrate abruptly can lead to rebound angina or worsened ischemic symptoms. Instead, the client should continue the medication as prescribed and manage headaches with analgesics or dosage adjustments as directed by the provider.
C. "Swallow the tablet whole to minimize your headaches." Isosorbide dinitrate comes in various formulations, including chewable, sublingual, and extended-release tablets. Chewable or sublingual forms are designed for rapid absorption, while extended-release tablets should be swallowed whole. However, swallowing the tablet whole does not prevent headaches, as the vasodilatory effect remains the same.
D. "You should take the medication on an empty stomach to prevent a headache." Taking isosorbide dinitrate with or without food does not significantly impact the likelihood of headaches. Food can delay absorption slightly but does not prevent vasodilation-related headaches. Adjusting the dosing schedule or using analgesics is more effective for managing this side effect.

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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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Correct Answer is A

Explanation

A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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