The practical nurse (PN) caring for a 3-month-old boy one day after a pyloromyotomy notices that the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest. What action should the PN take?
Feed one ounce of formula to correct hypoglycemia.
Administer a prescribed analgesia for pain.
Provide additional blankets to increase body temperature.
Increase IV infusion rate for rehydration.
The Correct Answer is B
The infant's symptoms are consistent with postoperative pain, which can be expected following a surgical procedure like pyloromyotomy. The PN should administer the prescribed analgesic medication to relieve the infant's discomfort and pain. It is crucial to manage pain appropriately in infants to promote healing, improve feeding tolerance, and prevent complications.
Option A is not appropriate as the infant's symptoms are not indicative of hypoglycemia.
Option C is not appropriate as the infant's symptoms do not indicate hypothermia.
Option D is not appropriate as the infant's symptoms do not indicate dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Respiratory syncytial virus (RSV) is a highly contagious virus that can cause severe respiratory infections, especially in infants and young children. RSV is easily spread through contact with respiratory secretions from infected individuals, and can survive on surfaces for several hours. Therefore, it is important to avoid exposing other children to RSV, especially those who are under 6 months old or have a weakened immune system. The practical nurse (PN) should advise the mother not to take her infant to the birthday party to prevent the spread of RSV to other children. The PN can provide education on how to prevent the spread of RSV, such as washing hands frequently, avoiding close contact with sick individuals, and covering the mouth and nose when coughing or sneezing.
Correct Answer is C
Explanation
Scoliosis screening is typically performed on early adolescent girls, as this is the age group that is most commonly affected by the condition. Early detection and intervention can help prevent the progression of scoliosis and improve outcomes.
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