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.

Answer and Explanation

The Correct Answer is B

In this scenario, the nurse should take the action of obtaining the child's dietary history first. By gathering information about the toddler's current dietary intake, the nurse can assess the specific problems and challenges the child may be facing. This information will be crucial in developing an appropriate plan of care to address poor dietary intake.

Once the nurse has a clear understanding of the child's dietary habits, they can then proceed with other actions such as encouraging the family to be present during mealtimes, offering nutritious snacks, and providing instructions on praising the child when they eat. However, obtaining the dietary history will provide essential information for the nurse to make informed decisions and interventions.

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Correct Answer is C

Explanation

"My baby will receive the rotavirus immunization orally." - This statement is correct. The rotavirus vaccine is administered orally, typically as drops or as an oral suspension. It is important for the guardian to follow the specific instructions provided by the healthcare provider for the administration of the rotavirus vaccine.

"I should not feed my baby anything for 2 hours prior to an immunization." - This statement is incorrect. It is not necessary to withhold feeding prior to immunizations. In fact, it is generally recommended to feed the baby before the immunization to help provide comfort during the procedure.

"My baby will receive three doses of the meningococcal immunization before kindergarten." - This statement is incorrect. The number of doses and the schedule for each immunization may vary. The guardian should consult with the healthcare provider or refer to the immunization schedule for specific recommendations regarding meningococcal immunization.

"I should expect my baby to have a high fever for 24 hours after an immunization." - This statement is not entirely accurate. While it is common for infants to experience mild side effects such as a low-grade fever after immunizations, a high fever is less common. The guardian should be aware of the potential side effects and contact the healthcare provider if they have concerns about their baby's reaction to the immunization.

A. Initiate droplet precautions. B. Request an x-ray of the preschooler's neck. C. Monitor the preschooler's urine for protein. D. Administer fluconazole to the preschooler.

Correct Answer is A

Explanation

RSV is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. To prevent the spread of RSV, it is important to implement droplet precautions. These precautions include wearing a mask and ensuring proper hand hygiene when in contact with the preschooler. This helps minimize the risk of transmitting the virus to other individuals.
Requesting an x-ray of the preschooler's neck is not indicated for RSV. RSV primarily affects the respiratory system, and an x-ray of the neck would not provide relevant information for the diagnosis or management of RSV.

Monitoring the preschooler's urine for protein is not specifically related to RSV. Proteinuria is not a typical manifestation or complication of RSV. Monitoring urine for protein is more relevant in conditions such as kidney disease or urinary tract infections.
Administering fluconazole to the preschooler is not indicated for RSV. Fluconazole is an antifungal medication used to treat fungal infections, and it would not be effective against a viral infection like RSV.

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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

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