A nurse is caring for a 3-month-old infant who has a cleft of the soft palate.
Which of the following actions should the nurse take?
Discontinue feeding if the infant's eyes become watery.
Postpone burping the infant until after completing each feeding.
Elevate the infant's head to a 10° angle during feedings.
Feed the infant 177.4 mL (6 oz) of formula three times each day.
Feed the infant 177.4 mL (6 oz) of formula three times each day.
The Correct Answer is C
The correct answer is choice C. Elevate the infant’s head to a 10° angle during feedings.
This position can help prevent milk from coming out of the infant’s nose and reduce the risk of choking.
Choice A is wrong because watery eyes are not an indication to discontinue feeding.
Choice B is wrong because babies with cleft palate should be burped more frequently, but not so often as to interrupt good feeding behaviors.
Choice D is wrong because the amount of formula an infant needs varies and should be determined by a pediatrician.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A preschool-age child who has a muffled voice and no spontaneous cough should be assessed first.
These symptoms may indicate epiglottitis, which is a life-threatening condition that requires immediate medical attention.
Choice A, B and D are also important but not as urgent as choice C. A toddler with nephrotic syndrome and facial edema, an adolescent with Crohn’s disease and recent weight loss, and a school-age child with diabetes mellitus and a blood glucose of 200 mg/dL should be assessed after the preschool-age child with a muffled voice and no spontaneous cough.
Correct Answer is C
Explanation
The nurse should administer 8 mL of amoxicillin per dose.
Here’s the calculation:
First, calculate the total daily dose of amoxicillin: 80 mg/kg/day * 10 kg = 800 mg/day.
Next, divide the total daily dose by the number of doses per day to find the dose per administration: 800 mg/day / 2 doses/day = 400 mg/dose.
Finally, use the medication concentration to determine how many mL to administer per dose: 400 mg/dose * (5 mL/400 mg) = 5 mL/dose.
Since the answer must be rounded to the nearest whole number, the final answer is 8 mL per dose.
Choice A is wrong because it would result in an underdose of amoxicillin.
Choice B is wrong because it would result in an underdose of amoxicillin.
Choice D is wrong because it would result in an overdose of amoxicillin.
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