A 3-week-old patient is hospitalized for surgical repair of hypertrophic pyloric stenosis. On the third postoperative day, the mother expresses concern that her infant vomited approximately one-fourth of his feeding. Which response by the nurse would be most appropriate at this time?

Plan for nurses to provide the feedings.

Report this finding to the health care provider.

Assure the mother that this is a normal finding.

Tell the mother it is all right to feel anxious.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Planning for nurses to provide feedings is not necessary since this is not related to the nursing care plan and doesn't address the mother's concern.

Choice B rationale:

Reporting the finding to the health care provider is appropriate because vomiting after surgical repair of hypertrophic pyloric stenosis could indicate a potential complication or issue.

Choice C rationale:

Assuring the mother that vomiting after surgical repair is normal might not be accurate and could dismiss a potentially significant concern.

Choice D rationale:

Telling the mother it is all right to feel anxious doesn't address the vomiting concern directly and might not be the most pertinent response at this time.

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Correct Answer is A

Explanation

"I will take the enzymes with all my meals and snacks.”.

Choice A rationale:

Taking pancreatic enzymes with all meals and snacks is the correct approach. Pancreatic enzymes are essential for aiding digestion and should be taken whenever food is consumed to ensure proper nutrient absorption.

Choice B rationale:

Taking enzymes only with meals is insufficient. Snacks also require enzyme supplementation for effective digestion.

Choice C rationale:

Waiting for complications before taking enzymes is incorrect. Enzymes are necessary for every meal and snack to prevent malabsorption and digestive issues.

Choice D rationale:

Taking enzymes at night before bed is not recommended. Enzymes are needed when food is present in the stomach, which typically occurs during meals and snacks, not before bedtime.

A. 4-year-old child with Down Syndrome. B. 6-month-old developmentally appropriate infant. C. 15-month-old child with autism. D. 10-year-old with acquired immune deficiency syndrome (AIDS). E. 12-year-child with an arm fracture. F. For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

Choice A rationale:

The varicella vaccine is not contraindicated solely based on Down Syndrome. It is important for these children to receive immunizations due to potential increased susceptibility to infections.

Choice B rationale:

A 6-month-old developmentally appropriate infant should receive the varicella vaccine according to the recommended schedule. There is no contraindication for this population.

Choice C rationale:

The varicella vaccine might be contraindicated for a child with autism due to concerns about adverse reactions, as these children might have sensitivities to certain vaccine components.

Choice D rationale:

The varicella vaccine should be contraindicated for a 10-year-old with acquired immune deficiency syndrome (AIDS) due to their compromised immune system. Live vaccines like varicella are usually avoided in immunocompromised individuals.

Choice E rationale:

A 12-year-old child with an arm fracture can still receive the varicella vaccine as it is not contraindicated based solely on this condition.

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A 3-week-old patient is hospitalized for surgical repair of hypertrophic pyloric stenosis. On the third postoperative day, the mother expresses concern that her infant vomited approximately one-fourth of his feeding. Which response by the nurse would be most appropriate at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should evaluate that a teenager understands when to take prescribed pancreatic enzymes when the client makes which statement?

Correct Answer is A

Explanation

For which clients would the varicella (chickenpox) vaccine be contraindicated? Select all that apply.

Correct Answer is ["C","D"]

Explanation

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