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?

Obtain the child's dietary history.

Offer the child nutritious snacks between meals.

Encourage the family to be with the child during mealtimes.

Instruct the family to praise the child when they eat.

Answer and Explanation

The Correct Answer is A

A.   Correct. Gathering information about the child's dietary history is the first step to understanding the potential underlying causes of poor intake.
B.   Incorrect. Offering nutritious snacks is important, but understanding the child's history is a higher priority.
C.   Incorrect. While family presence during mealtimes is important, addressing the child's dietary intake takes precedence.
D.   Incorrect. Praise is important but doesn't address the underlying issue of poor dietary intake.

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Correct Answer is C

Explanation

A. Discarding worksheets containing client information in a wastebasket does not ensure proper disposal of confidential information and could compromise confidentiality.
B. Writing a client's diagnosis on the message board in the client's room could breach confidentiality, as it could potentially be seen by unauthorized individuals.
C. This action protects client confidentiality because it involves discussing sensitive information in a private setting where unauthorized individuals are less likely to overhear. This is an appropriate method of communicating client information during a handoff.
D. While sharing relevant information with personnel directly involved in the client's care is generally acceptable, it must still be done in a manner that safeguards confidentiality.

A. Semi Fowler’s B. Dorsal recumbent C. Supine D. Left lateral

Correct Answer is A

Explanation

A. Correct. Placing the client in Semi Fowler’s position with the head of the bed elevated helps reduce swelling and pressure on the neck after thyroid surgery.
B. Dorsal recumbent position might not provide the necessary support and elevation for the client's neck after thyroid surgery.
C. The supine position might not be as optimal as Semi Fowler’s for comfort and healing after thyroid surgery.
D. The left lateral position is not typically used for postoperative care after a thyroidectomy.

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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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