The nurse admits to the clinic a 7-month-old infant whose parents report that the baby has not had a bowel movement in 4 days.
What is the nurse’s best action?
Administer a glycerin suppository as prescribed.
Administer magnesium hydroxide as prescribed.
Encourage watchful waiting for 24 hours.
Encourage feeding supplementation with free water.
The Correct Answer is A
Glycerin suppositories are safe and effective for infants with constipation. They work by lubricating and softening the stool, and stimulating the rectal muscles to contract.
Choice B is wrong because magnesium hydroxide is not recommended for infants under 6 months of age, and may cause diarrhea, electrolyte imbalance, or magnesium toxicity.
Choice C is wrong because watchful waiting for 24 hours may not be enough to relieve the infant’s discomfort and may lead to further complications such as fecal impaction or dehydration.
Choice D is wrong because feeding supplementation with free water may not be sufficient to treat constipation, and may dilute the infant’s intake of nutrients and electrolytes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Glulisine is a rapid-acting insulin that has an onset of action of 2 to 5 minutes and peaks in 30 to 90 minutes, making it the fastest among the choices. Some possible explanations for the other choices are:
Choice A. Aspart is also a rapid-acting insulin, but it has a slightly longer onset of action (10 to 20 minutes) and peak time (1 to 3 hours) than glulisine.
Choice B. Lispro is another rapid-acting insulin, but it has a similar onset of action (<15 minutes) and peak time (30 to 90 minutes) as glulisine, so it is not the fastest.
Choice C. Regular is a short-acting insulin that has a much longer onset of action (30 to 60 minutes) and peak time (2 to 4 hours) than glulisine, so it is not suitable for fast therapeutic effects.
Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.
Insulin doses are adjusted based on blood glucose monitoring, carbohydrate intake, physical activity, and other factors.
Correct Answer is C
Explanation
This is because aprepitant can cause dehydration as an adverse effect, so the nurse will want to encourage the client to drink as much liquid as possible.
Choice A is wrong because the client’s temperature would not be affected by aprepitant.
Choice B is wrong because the client must be encouraged for fluid intake as tolerated, so placing an NPO sign on the door would not be appropriate for this client.
Choice D is wrong because elevating the head of the bed would be unnecessary for a client receiving aprepitant.
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