A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

Administer saline drops

Obtain visual acuity

Cleanse the eyes

Obtain a history

Answer and Explanation

The Correct Answer is B

A.   Administering saline drops may be appropriate if there is a foreign body or irritation, but it is not the priority in a case of blurred vision.
B.   The priority is to assess the child's visual acuity to determine the severity and possible cause of the blurred vision. This is essential to guide further diagnostic steps.
C.   Cleansing the eyes may be helpful if there is visible debris or infection, but it is not the first priority in assessing blurred vision.
D.   Obtaining a history is important but would follow after the visual acuity assessment, as it can help provide context for the symptoms.

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Correct Answer is C

Explanation

A. Thickening the formula with cereal is generally not recommended for infants with a cleft lip and palate as it can cause additional feeding difficulties.
B. Positioning the infant laying back can increase the risk of aspiration and is not recommended. An upright position helps reduce the risk of aspiration.
C. Positioning the infant upright during feedings helps reduce the risk of aspiration and facilitates better feeding for infants with cleft lip and palate.
D. A nasogastric tube may be needed if the infant is unable to feed orally due to the severity of the cleft, but this is not a routine part of feeding education.

A. Distended neck veins B. Red currant jelly stools C. Weight loss D. Occasional vomiting

Correct Answer is C

Explanation

A. Distended neck veins are typically seen in cases of heart failure or other circulatory issues, not pyloric stenosis.
B. Red currant jelly stools are associated with intussusception, not pyloric stenosis.
C. Weight loss is a common manifestation of pyloric stenosis due to vomiting and poor nutrient intake. This occurs as the narrowing of the pylorus obstructs the passage of food.
D. Occasional vomiting could be a sign of pyloric stenosis, but the hallmark feature is projectile vomiting, which occurs more frequently and is often more forceful.

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A nurse is caring for a 7-year-old child in the urgent care with complaints of blurred vision. The nurse should complete which of the following as the priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education about feedings to the parents of a newborn with a cleft lip and palate. The education includes the use of a specialized bottle/nurser, offering frequent short feedings, and burping more frequently. What other education should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a 6-week-old infant diagnosed with pyloric stenosis. Which of the following clinical manifestations should the nurse expect?

Correct Answer is C

Explanation

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