A nursing student sees the nurse dip a pacifier in a sugar-water solution for an infant before administering an intramuscular injection. The nursing student asks why the nurse provided this sugar-water pacifier. The nurse’s appropriate response is: This will:
Help the vaccination be more effective
Prevent hypoglycemia from the stress of the injection
Provide additional calories to prevent malnourishment
Soothe and distract the infant from pain
The Correct Answer is D
Choice A reason: This statement is false. A sugar-water pacifier does not help the vaccination be more effective. Vaccinations are effective because they stimulate the immune system to produce antibodies against a specific disease.
Choice B reason: This statement is false. A sugar-water pacifier does not prevent hypoglycemia from the stress of the injection. Hypoglycemia is a condition where the blood sugar level is too low, which can cause symptoms such as sweating, trembling, confusion, or seizures. A sugar-water pacifier does not provide enough glucose to prevent hypoglycemia.
Choice C reason: This statement is false. A sugar-water pacifier does not provide additional calories to prevent malnourishment. Malnourishment is a condition where the body does not get enough nutrients, such as protein, vitamins, and minerals, to function properly. A sugar-water pacifier does not provide enough nutrients to prevent malnourishment.
Choice D reason: This statement is true. A sugar-water pacifier soothes and distracts the infant from pain. Sugar-water has a sweet taste that activates the endorphin system, which reduces pain perception. A pacifier also provides oral stimulation and comfort, which distracts the infant from the pain of the injection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: 363 is not the correct answer. This is the daily maintenance fluid requirement for an infant who weighs 3.5 kg, not 16 kg. The formula for calculating the daily maintenance fluid requirement for infants who weigh between 3.5 and 10 kg is 100 mL/kg¹.
Choice B reason: 727 is not the correct answer. This is the daily maintenance fluid requirement for an infant who weighs 10 kg, not 16 kg. The formula for calculating the daily maintenance fluid requirement for infants who weigh between 10 and 20 kg is 1000 mL plus 50 mL for every kg over 10¹.
Choice C reason: 1300 is the correct answer. This is the daily maintenance fluid requirement for an infant who weighs 16 kg. The formula for calculating the daily maintenance fluid requirement for infants who weigh between 10 and 20 kg is 1000 mL plus 50 mL for every kg over 10¹. Therefore, for an infant who weighs 16 kg, the daily maintenance fluid requirement is 1000 mL plus 50 mL times 6, which equals 1300 mL.
Choice D reason: 1600 is not the correct answer. This is the daily maintenance fluid requirement for an infant who weighs 20 kg, not 16 kg. The formula for calculating the daily maintenance fluid requirement for infants who weigh between 10 and 20 kg is 1000 mL plus 50 mL for every kg over 10¹. For infants who weigh more than 20 kg, the formula is 1500 mL plus 20 mL for every kg over 20¹.
Correct Answer is B
Explanation
Choice A reason: This statement is false. Acetaminophen (Tylenol) is not the best choice for the nurse to administer as an adjuvant to decrease the patient's pain, as acetaminophen is a mild analgesic that works by inhibiting the synthesis of prostaglandins, which are involved in inflammation and pain. Acetaminophen is not very effective for chronic, burning leg pain, which is likely caused by diabetic neuropathy, a nerve damage condition that affects the sensation and function of the legs.
Choice B reason: This statement is true. Gabapentin (Neurontin) is the best choice for the nurse to administer as an adjuvant to decrease the patient's pain, as gabapentin is an anticonvulsant that works by modulating the activity of calcium channels, which are involved in transmitting pain signals from the nerves to the brain. Gabapentin is effective for chronic, burning leg pain, as it can reduce the intensity and frequency of neuropathic pain.
Choice C reason: This statement is false. Hydrocodone-Acetaminophen (Norco) is not the best choice for the nurse to administer as an adjuvant to decrease the patient's pain, as hydrocodone-acetaminophen is a combination of an opioid analgesic and a mild analgesic that works by binding to opioid receptors in the brain and spinal cord, and by inhibiting the synthesis of prostaglandins, respectively. Hydrocodone-acetaminophen is not very effective for chronic, burning leg pain, as it can cause tolerance, dependence, and addiction, and can also interact with oxycodone, which the patient is already taking.
Choice D reason: This statement is false. Aspirin is not the best choice for the nurse to administer as an adjuvant to decrease the patient's pain, as aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the synthesis of prostaglandins, which are involved in inflammation and pain. Aspirin is not very effective for chronic, burning leg pain, as it can cause gastrointestinal bleeding, ulcers, and kidney damage, and can also interact with other medications that the patient may be taking, such as anticoagulants or antiplatelets.
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