A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?
Half-strength infant formula
Sterile water
Oral electrolyte solution
Half-strength orange juice
The Correct Answer is C
A. Half-strength infant formula: Infant formula, even if diluted, may not be appropriate immediately after a repair of intussusception. It may be too heavy for the infant's digestive system, potentially leading to complications. Clear fluids are usually preferred initially.
B. Sterile water: Sterile water is not typically recommended for oral intake in infants after a repair of intussusception. It lacks essential electrolytes needed to maintain proper hydration and electrolyte balance.
C. Oral electrolyte solution: Oral electrolyte solutions, such as Pedialyte, are often recommended for infants after a repair of intussusception. These solutions contain balanced electrolytes and fluids, which help prevent dehydration and restore electrolyte balance.
D. Half-strength orange juice: Orange juice, even if diluted, is not typically recommended immediately after a repair of intussusception. It may be too acidic and may cause gastrointestinal discomfort or irritation in the infant. Clear fluids are preferred initially to allow the gastrointestinal tract to rest and recover.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You must be getting better. You look great!": This response could potentially be interpreted as positive reinforcement, but it carries the risk of making assumptions about the client's mental state solely based on their appearance. It implies that the client's improved grooming is solely due to their improvement in depression, which may not necessarily be the case. Additionally, it may inadvertently minimize the client's experience of depression by attributing their grooming to improvement rather than recognizing it as an achievement in itself.
B. "Everyone feels better after showering": This response generalizes the client's experience and minimizes the significance of their actions. It implies that grooming is merely a routine activity that everyone does and that feeling better is solely related to physical cleanliness. It fails to acknowledge the client's effort and positive behavior, which could be significant achievements for someone experiencing depression.
C. "Why are you all dressed up today? Is it a special occasion?": This response might put the client on the spot and make them feel uncomfortable or self-conscious about their appearance. It could also imply that there must be a specific reason for the client to take care of their grooming, rather than recognizing it as a positive step regardless of the reason. Additionally, it doesn't acknowledge the client's effort or provide validation for their behavior.
D. "I see you have done some grooming today.": This response acknowledges the client's effort and positive behavior without making assumptions or judgments about the client's mental state or improvement. It demonstrates observance and recognition of the client's actions, which can help build rapport and trust between the nurse and the client. Additionally, it opens the door for further conversation if the client wishes to discuss their grooming habits or how they are feeling.
Correct Answer is C
Explanation
A. Elbow. Elbow restraints are typically used to limit movement of the elbow joint. However, they may not be suitable for an infant post-cleft lip and palate repair surgery. The primary concern after this type of surgery is to prevent the infant from touching the surgical site, which requires a more comprehensive restraint method.
B. Jacket. A jacket restraint wraps around the torso and arms, similar to a mummy restraint. However, jacket restraints may not provide as much immobilization or security for the infant's arms as a mummy restraint. Given the importance of preventing the infant from touching the surgical site, a mummy restraint may be more appropriate in this case.
C. Mummy. This is the correct choice. A mummy restraint wraps around the infant's torso and arms, providing secure immobilization to prevent the infant from touching the surgical site. It is specifically designed to restrict movement while still allowing some freedom for comfort and positioning. This type of restraint is commonly used for infant’s post-cleft lip and palate repair surgery to facilitate optimal healing and prevent disruption of sutures.
D. Wrist. Wrist restraints are typically used to restrict movement of the wrists and hands. However, they may not be suitable for an infant post-cleft lip and palate repair surgery, as the primary concern is to prevent the infant from touching the surgical site on the face. Wrist restraints would not effectively address this issue and may be unnecessarily restrictive for the infant's comfort and mobility.
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