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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You will suffer serious health issues if you don't take your medication." While it is important to convey the seriousness of diabetes management, this statement may come across as threatening or coercive. It does not encourage open communication or exploration of the client's feelings about their diagnosis or treatment.
B. "I'd like to hear your thoughts about giving yourself this medication." This response invites the client to express their feelings and concerns about self-administering insulin. It promotes open dialogue and allows the nurse to understand the client’s perspective, fears, or misconceptions, which can help tailor the education and support provided.
C. "Have you considered how your decision to refuse medication will affect your family?" While family considerations can be important, this response may place undue pressure on the client and shift focus away from their personal feelings about their treatment. It does not foster a supportive environment for the client to share their concerns.
D. "Why don't you want to learn how to give yourself your medication?" This question may come across as confrontational or judgmental. Instead of encouraging a collaborative discussion, it might make the client defensive. It’s essential to create a safe space for clients to share their thoughts and feelings.
Correct Answer is C
Explanation
A. Asking the client to point their toes before applying the stockings is an appropriate action. This maneuver helps to flex the foot, making it easier to apply the stockings and ensuring they fit properly without causing discomfort.
B. Turning the stockings inside out before applying them is an acceptable practice as it can make them easier to put on and ensure they fit well on the client’s leg. This action does not require intervention.
C. Ensuring that creases in the stockings are on the front of the client's legs requires intervention. The stockings should be applied smoothly and without creases to prevent pressure areas, which could lead to skin breakdown or complications. Creases should be avoided on any part of the stockings that may cause discomfort or impede circulation.
D. Applying the stockings before the client gets out of bed is appropriate. Antiembolic stockings are often applied while the client is in bed to prevent complications associated with immobility, such as deep vein thrombosis (DVT). This action supports patient safety and comfort.
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