A nurse in a clinic is providing education to the guardian of a 6-month-old infant on starting solid foods. Which of the following statements should the nurse include in the teaching?

"You can add honey to sweeten vegetables if they do not like them."

"Raw carrots are a good snack to provide and can help with teething."

"You can mash canned vegetables instead of purchasing baby food."

"Introduce one new food every 3 to 5 days when starting solid foods"

Answer and Explanation

The Correct Answer is D

A. "You can add honey to sweeten vegetables if they do not like them." Honey should be avoided in infants under 12 months due to the risk of infant botulism, a serious and potentially fatal illness caused by Clostridium botulinum spores.
B. "Raw carrots are a good snack to provide and can help with teething." Raw carrots pose a choking hazard for infants and should not be given in solid form. Teething rings or soft, age-appropriate snacks are safer alternatives for teething relief.
C. "You can mash canned vegetables instead of purchasing baby food." Canned vegetables often contain added sodium, which is not recommended for infants. Fresh or frozen vegetables without added salt are a safer option when preparing homemade baby food.
D. "Introduce one new food every 3 to 5 days when starting solid foods." This approach allows the caregiver to monitor for allergic reactions or food sensitivities. Introducing foods gradually helps identify the cause of any adverse response and promotes safe dietary progression.

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Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

Client reports feeling unwell: This is clinically significant when combined with fever, foul-smelling lochia, and elevated WBCs; it could indicate systemic infection such as endometritis.
Fundus boggy but firms with massage: Indicates uterine atony, a risk factor for postpartum hemorrhage. Even if it responds to massage, repeated bogginess suggests the need for uterotonic medications and close monitoring.
Foul-smelling, dark brown lochia: These findings are highly suggestive of uterine infection (endometritis), especially when paired with uterine tenderness, fever, and elevated WBCs.
WBC count 33,000/mm³: Severely elevated — well above normal postpartum leukocytosis (typically up to 20,000/mm³). A level of 33,000 strongly suggests an ongoing infectious process.
Temperature 38.2°C (100.8°F): Slightly elevated, and while low-grade fever is common postpartum, when associated with uterine tenderness and abnormal lochia, it raises concern for infection and should be monitored and managed appropriately.
Lung sounds diminished in the bases: Could be due to post-surgical hypoventilation, immobility, or atelectasis. Should prompt encouragement of deep breathing, incentive spirometry, and ambulation.
No bowel movement since birth, hypoactive bowel sounds: This is a common post-cesarean finding due to anesthesia and immobility, but it still indicates delayed return of GI function and should be monitored for signs of ileus.

A. Delayed B. Anticipatory C. Disenfranchised D. Exaggerated

Correct Answer is B

Explanation

A. Delayed. Delayed grief is characterized by the postponement or suppression of grieving responses, often surfacing long after the loss has occurred. It does not apply here, as the family member is expressing active emotional struggle before the loss.
B. Anticipatory. Anticipatory grief occurs before an actual loss, such as when a loved one is dying from a terminal illness. The family member is beginning to grieve the impending death and the emotional impact of the future loss, which fits this type of grief.
C. Disenfranchised. Disenfranchised grief refers to grief that is not openly acknowledged or socially supported, such as the death of an ex-partner or a pet. In this scenario, the grief is acknowledged and supported, so this does not apply.
D. Exaggerated. Exaggerated grief involves intense symptoms that interfere with daily functioning, such as severe depression, phobias, or suicidal thoughts. The family member is expressing difficulty, but not at a level that indicates dysfunction.

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A nurse in a clinic is providing education to the guardian of a 6-month-old infant on starting solid foods. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F","G","H"]

Explanation

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Correct Answer is B

Explanation

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