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
Obtain the child's dietary history
Offer the child nutritious snacks between meals
Instruct the family to praise the child when they eat
The Correct Answer is B
Correct answer: B
A. Family presence can provide comfort and support to the toddler, making mealtimes a more positive experience. It can also encourage the child to eat more by setting a good example. However, without first understanding the child's dietary habits and possible issues, this intervention might not address the root cause of the poor intake.
B. The nurse’s first action in caring for a toddler with poor dietary intake should be to obtain the child’s dietary history. Understanding the child’s current eating habits, preferences, and any potential barriers to adequate nutrition is essential for planning appropriate interventions. Once the dietary history is obtained, the nurse can tailor further actions based on the specific needs of the child.
C. Offering nutritious snacks can help increase the child's overall calorie and nutrient intake, which is particularly important if the child has a low appetite during regular meals. Nevertheless, this step should follow the assessment of the child's dietary history to ensure that the snacks offered are appropriate and to avoid potential allergies or intolerances.
D. Positive reinforcement can encourage healthy eating behaviors and make mealtime a more enjoyable experience for the child. Praising the child can motivate them to eat more. However, this should be done after understanding the child's eating patterns and preferences to ensure that the praise is given in a context that promotes effective and lasting change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation
C.I should check my heart rate while taking the medication
Timolol is a medication commonly prescribed for the treatment of primary open-angle glaucoma, which is a chronic eye condition characterized by increased intraocular pressure
hacking the heart rate while taking timolol eye drops is important. Timolol belongs to a class of medications called beta-blockers, which can have systemic effects. These medications can enter the bloodstream and potentially affect heart rate and blood pressure. Monitoring the heart rate can help assess for any potential adverse effects of the medication.
Taking a zinc supplement in (option A) is not correct because it is not typically necessary while taking timolol eye drops. Zinc supplementation is not a direct requirement or related to the use of timolol for glaucoma treatment. The client should follow their healthcare provider's instructions regarding medication use and potential dietary modifications, but zinc supplementation is not specifically associated with timolol.
Timolol eye drops in (option B) is not correct because it does not darken the colour of the eyes. The purpose of timolol eye drops is to reduce intraocular pressure by decreasing the production of fluid in the eye. Eye colour changes are not known effects of timolol eye drops.
Timolol eye drops in (option D) is incorrect because it does not dilate the eyes. In fact, they work by reducing intraocular pressure, not by dilating the eyes. Eye dilation is typically achieved with the use of specific eye drops called mydriatics or with the use of specialized ophthalmic instruments during an eye examination.
Correct Answer is D
Explanation
The nurse should identify Naproxen as an over-the-counter product that is unsafe for use with enoxaparin. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding when used in combination with anticoagulant medications like enoxaparin. Both enoxaparin and Naproxen have anticoagulant effects, and using them together can significantly increase the risk of bleeding complications.
On the other hand, calcium supplements, docusate (a stool softener), and cimetidine (an H2 blocker) do not have direct interactions or pose significant risks when used with enoxaparin. However, it is always important for the client to inform their healthcare provider about all medications, including over-the-counter products, they are taking to ensure there are no potential interactions or contraindications specific to their individual situation.
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