During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a prescription for liquid multivitamin with fluoride. Though the infant is still breast feeding, the mother provides the child with supplemental formula feedings. Which assessment is most important for the nurse to obtain?

Weight gain and type of formula taken daily.

The newborn's gestational age assessment.

Water source used with supplement feedings.

The infant's current hemoglobin and hematocrit.

Answer and Explanation

The Correct Answer is C

A. While it's essential to monitor the infant's weight gain and the type of formula taken daily, this information is important for tracking growth and nutrition but is not directly related to the use of liquid multivitamin with fluoride.

B. The newborn's gestational age assessment is typically relevant during the immediate postnatal period and may not be as crucial at 6 months of age.

C. The water source used with supplemental feedings is critical when considering the use of liquid multivitamin with fluoride. Fluoride is often recommended to prevent tooth decay, and it's essential to know the fluoride content in the water source to determine whether additional supplementation is needed. If the water source has adequate fluoride, the infant may not require a fluoride supplement.

D. While the infant's current hemoglobin and hematocrit levels are important for assessing anemia, this assessment is not directly related to the request for a prescription for liquid multivitamin with fluoride. In summary, assessing the water source used for supplemental feedings is crucial to determine the necessity of a fluoride supplement, which is the primary concern in this scenario.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

Based on the provided information, it seems that the parents have an understanding of the echocardiogram procedure. Here's the assessment for each statement:

Statement:

The echocardiogram is an invasive procedure. (No understanding) - This statement is incorrect. An echocardiogram is a non-invasive procedure.

I can show my child a movie or read him a book during the procedure. (Understanding) - This statement indicates an understanding that the child can be comforted or distracted during the procedure.

Echocardiography uses soundwaves to produce images. (Understanding) - This statement reflects an understanding of the basic principle of how echocardiography works.

The echocardiogram will produce an image of the structure of the heart. (Understanding) - This statement shows an understanding of the purpose of the echocardiogram, which is to visualize the structure of the heart.

A. Jaundice. B. Chest pain. C. Swelling in the hands or feet. D. Ulcers on the legs

Correct Answer is B

Explanation

A. Jaundice is a common finding in individuals with sickle cell disease due to the breakdown of sickled red blood cells. While jaundice should be monitored and reported, it is not as immediately concerning as chest pain in the context of a sickle cell crisis.

B Chest pain.

Sickle cell disease is characterized by the presence of abnormal hemoglobin that can lead to the formation of sickled red blood cells. During a sickle cell crisis, these abnormal cells can block blood vessels, leading to tissue damage and severe pain. Chest pain in a child with sickle cell disease can be indicative of a potentially life-threatening complication called acute chest syndrome, which is a serious condition that requires immediate medical attention. Acute chest syndrome can lead to impaired oxygen exchange and respiratory distress, making it a medical emergency.

C. Swelling in the hands or feet can be associated with vaso-occlusive episodes in sickle cell disease, but it may not be as immediately concerning as chest pain.

D. Ulcers on the legs can be a complication of sickle cell disease, but they are not typically as acutely life-threatening as chest pain due to acute chest syndrome.

Chest pain should be treated as a medical emergency in a child with sickle cell disease during a sickle cell crisis, and the healthcare provider should be informed immediately to initiate appropriate intervention.

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Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

Correct Answer is B

Explanation

When advising a new mother in caring for a child with croup, which symptom should be a priority concern to the telephone triage nurse?

An infant who has a Wilms' tumor is admitted for surgery. Which intervention should the nurse implement during the preoperative period?

When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement?

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