A nurse is caring for a 2-month-old infant in a crib and needs the nasogastric tube on the counter near the sink. The nurse would now:.

Assess the infant's ability to roll over.

Put a nesting pillow around the infant.

Put the side rail all the way up.

Call for someone else to get the tube.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Assessing the infant's ability to roll over is unrelated to the situation. The nurse's focus should be on safely retrieving the nasogastric tube without leaving the infant alone.

Choice B rationale:

Using a nesting pillow is not appropriate in this scenario. The nurse should prioritize getting the nasogastric tube rather than introducing unnecessary items into the crib.

Choice C rationale:

Putting the side rail all the way up might hinder the nurse's ability to access the counter and the nasogastric tube. It is not the most effective action in this situation.

Choice D rationale:

Calling for assistance ensures that the infant's safety is maintained while the nurse retrieves the nasogastric tube. Leaving the infant unattended increases the risk of harm, so involving someone else is the appropriate action.

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Correct Answer is A

Explanation

Dust the child's room with a damp cloth every week.

Choice A rationale:

Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.

Choice B rationale:

Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.

Choice C rationale:

Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.

Choice D rationale:

Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.

A. Between meals. B. Before meals. C. During meals. D. After meals.

Correct Answer is B

Explanation

Choice A rationale:

Administering pancreatic enzymes between meals may not provide the necessary digestive support when food is introduced to the gastrointestinal tract. These enzymes are meant to aid in digestion, so administering them between meals might not be as effective as when taken in conjunction with food.

Choice B rationale:

Administering pancreatic enzymes before meals is the most appropriate time because it helps replace the missing enzymes in patients with cystic fibrosis. These enzymes aid in breaking down food and absorbing nutrients, compensating for the deficient pancreatic function. By giving the enzymes before meals, the body has the necessary support to digest the incoming food.

Choice C rationale:

While administering enzymes during meals might seem logical, it's actually less effective. The enzymes need time to mix with the ingested food before it enters the small intestine, where digestion primarily occurs.

Choice D rationale:

Administering pancreatic enzymes after meals wouldn't be as effective because the enzymes need to be present when food enters the stomach and begins the digestive process.

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A nurse is caring for a 2-month-old infant in a crib and needs the nasogastric tube on the counter near the sink. The nurse would now:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is exploring strategies to help a patient with multiple allergies to have less frequent and less severe exacerbations of his asthma. Which strategy is most appropriate for the nurse to teach the family?

Correct Answer is A

Explanation

When a client with cystic fibrosis is prescribed pancreatic enzymes, what is the best time for the nurse to administer them to the client?

Correct Answer is B

Explanation

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