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
Instruct the family to praise the child when they eat
Offer the child nutritious snacks between meals
The Correct Answer is B
A) Encourage the family to be with the child during mealtimes: While family support during mealtimes can be helpful, it is not the first priority in this situation. The most important step is to understand the child’s dietary habits and challenges in order to create a more targeted and effective approach to addressing the poor dietary intake.
B) Obtain the child’s dietary history: The first step should be to gather information about the child’s dietary history. Understanding what the child is eating, how often, and any potential barriers to proper nutrition (e.g., food preferences, allergies, or cultural practices) is crucial for identifying the root cause of the poor dietary intake. This information will guide the nurse in making appropriate recommendations for improving the child's nutrition.
C) Instruct the family to praise the child when they eat: While positive reinforcement can be a useful strategy, it is not the first step in addressing poor dietary intake. The nurse needs to assess the child’s dietary habits and any possible issues before recommending specific behavioral strategies.
D) Offer the child nutritious snacks between meals: Offering nutritious snacks is a good strategy for improving a child’s nutrition, but it should come after gathering a clear understanding of the child’s eating habits. Without knowing the child’s preferences and needs, it’s better to first assess and identify the cause of the poor intake before recommending snacks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Two diarrhea stools in the last day: Diarrhea, especially if it is mild and without other severe symptoms, is not a contraindication for receiving a varicella vaccine. The child may still be able to receive the immunization if they are otherwise well. However, if the diarrhea is accompanied by fever, vomiting, or other signs of illness, the vaccine may be delayed.
B) Chemotherapy treatments: Chemotherapy treatments are a contraindication for the varicella vaccine. Chemotherapy can suppress the immune system, making the child more vulnerable to infections, including the risk of contracting varicella from the live vaccine. Immunocompromised patients should not receive live vaccines unless approved by their healthcare provider.
C) Clear rhinorrhea: Clear rhinorrhea, or a runny nose, typically indicates a mild upper respiratory condition like a cold. This is not a contraindication for receiving the varicella vaccine unless other symptoms are more severe or the child has a fever or signs of a more serious illness.
D) Medications for a cardiac anomaly: Medications for a cardiac anomaly do not generally interfere with the safety of the varicella vaccine. These medications may require careful monitoring for other reasons, but they are not contraindications to receiving the immunization, as long as the child is not immunocompromised from other causes
Correct Answer is D
Explanation
A) Wear sterile gloves to remove the dressing: For a wet-to-dry dressing change, clean gloves are typically used when removing the dressing, as the procedure does not require a sterile technique unless the wound is being directly cleaned or treated with sterile instruments. Wearing sterile gloves for removal is unnecessary and could increase the risk of contamination when handling non-sterile dressing material.
B) Remove the tape by pulling from the center of the dressing: Tape should be removed by pulling it gently from the edges rather than from the center. Pulling from the center may cause unnecessary trauma to the surrounding skin or disrupt the wound's healing process. Gently pulling from the edges helps reduce the risk of skin irritation and minimizes discomfort for the patient.
C) Moisten dressing before removal: The dressing should be moistened before application, not before removal. Wetting the dressing before removing it may actually cause further trauma to the wound, and it might be difficult to remove the wet-to-dry dressing cleanly. The dressing should be removed first, and then a new dressing should be moistened if needed.
D) Clean the wound from the center to the outer edges: When cleaning a wound, the nurse should always clean from the center of the wound to the outer edges in a circular motion. This helps prevent the spread of bacteria from the outer contaminated areas into the clean tissue. By cleaning from the center outward, the nurse reduces the risk of introducing new bacteria into the wound site.
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