Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?

"Call the doctor immediately if the infant has a temperature greater than 100°F."

"The pediatrician should be contacted if the infant has two loose stools in an 8-hour period."

"Call your pediatrician if the infant has not had a wet diaper for 8 hours."

"Notify the pediatrician if the infant naps more than 2 hours."

Answer and Explanation

The Correct Answer is C

Choice A reason: Fever is a concern, but it is not the most immediate sign of dehydration.
Choice B reason: While loose stools are a symptom of diarrhea, the frequency mentioned does not necessarily indicate an emergency.
Choice C reason: This is the correct choice. Lack of a wet diaper for 8 hours can indicate dehydration, which is an emergency in infants.
Choice D reason: Longer naps may not be directly related to diarrhea and do not warrant immediate contact with a pediatrician.

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Free Nursing Study Resources

Correct Answer is ["A","D","E"]

Explanation

Choice A reason: Administering oxygen helps increase the oxygen saturation during a 'tet' spell.
Choice B reason: The Trendelenburg position is not recommended for 'tet' spells as it does not help alleviate the hypercyanotic episode.
Choice C reason: While important for overall assessment, drawing blood for serum hemoglobin is not an immediate intervention during a 'tet' spell.
Choice D reason: Placing the infant in a knee-chest position increases systemic vascular resistance, which can help improve oxygenation.
Choice E reason: Administering morphine is appropriate as it helps to relax the infant, reducing the work of breathing and improving oxygenation.

A. Peer group acceptance B. Development of a sense of industry C. The child is old enough to manage their own insulin doses and finger sticks D. The child’s safety

Correct Answer is D

Explanation

Choice A reason: While peer group acceptance is important, it is not the primary concern in this situation.
Choice B reason: Developing a sense of industry is part of Erikson's stages of psychosocial development but is not the primary nursing concern here.
Choice C reason: Whether the child can manage their own insulin and finger sticks is important, but safety is the primary concern.
Choice D reason: This is the correct choice. Ensuring the child's safety is paramount, as the school needs to be aware of the child's condition in case of a diabetes-related emergency.

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Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant with tetralogy of Fallot is having a hypercyanotic episode ('tet' spell). Which three nursing interventions are appropriate for the nurse to implement for this infant?

Correct Answer is ["A","D","E"]

Explanation

What is the primary nursing concern for an 8-year-old child with Type 1 diabetes who asks his mother not to tell anyone at school that he has diabetes?

Correct Answer is D

Explanation

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