A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

"I will give lansoprazole 30 minutes after their feeding."

"I will lay my baby on her side after feedings."

"I will add rice cereal to my baby's feedings."

"I will use a nipple that has a wide base to feed them."

Answer and Explanation

The Correct Answer is C

A. "I will give lansoprazole 30 minutes after their feeding." Lansoprazole should be administered 30 minutes before feedings to effectively reduce stomach acid.
B. "I will lay my baby on her side after feedings." Side-lying positioning increases the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back.
C. "I will add rice cereal to my baby's feedings." Adding rice cereal can thicken the formula, helping to reduce reflux episodes.
D. "I will use a nipple that has a wide base to feed them." While wide-based nipples can be helpful for latch during breastfeeding, they do not significantly impact GER management.

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Correct Answer is A

Explanation

A. "Maintain aseptic technique during the child's dressing changes." Aseptic technique reduces the risk of infection, which is critical for children with burns as their immune response may be compromised.
B. "Provide low-calorie snacks for the child several times each day." Children with burns require a high-calorie, high-protein diet to promote healing and compensate for increased metabolic demands.
C. "Apply continuous passive motion devices to the child's lower extremities during periods of rest." Passive motion devices are not typically indicated for burn injuries unless there is joint involvement requiring physical therapy for mobility restoration.
D. "Administer pain medication to the child 30 min following physical therapy." Pain medication should be administered before physical therapy to improve tolerance and participation.

A. "if our baby vomits after the feeding, we should administer another dose." B. "We should expect our baby to urinate less frequently while taking this medicine." C. "We should position our baby flat on their back to administer the medication." D. "We should avoid diluting the medicine in a bottle of formula." E. "We can use a medication syringe to place small amounts of medicine into the side of our baby's mouth."

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

Explanation

A. If the baby vomits, do not administer another dose without consulting the provider to avoid overdosing.
B. There is no expected reduction in urination with GER medications. If decreased urination occurs, it may indicate dehydration or another issue.
C. The baby should not be positioned flat when administering medication to avoid choking or aspiration.
D. Avoid diluting medication in a formula bottle, as the infant may not finish the bottle, leading to incomplete dosing.
E. Administering medication with a syringe ensures accurate dosing and avoids wasting the medicine.

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A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

The nurse is continuing to care for the infant. Exhibits The nurse has provided teaching to the parents about the prescribed medication. Which of the following statements by the parents indicate an understanding of the teaching? Select all that apply.

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

Explanation

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