A nurse is caring for an infant who is drinking a cow's milk formula and has bloody stools.
Which of the following recommendations should the nurse make to the infant's guardian?
Switch to a soy-based formula.
Switch to a goat's milk formula.
Switch to an unpasteurized milk formula.
Switch to a condensed milk formula.
The Correct Answer is A
A. Switch to a soy-based formula: Bloody stools in infants can be indicative of a cow's milk protein allergy or intolerance. Switching to a soy-based formula may alleviate symptoms in such cases.
B. Switch to a goat's milk formula: Goat's milk is not recommended for infants as it lacks essential nutrients and can lead to nutritional deficiencies and other health issues.
C. Switch to an unpasteurized milk formula: Unpasteurized milk poses a risk of bacterial contamination and is not recommended, especially for infants who are more susceptible to infections.
D. Switch to a condensed milk formula: Condensed milk is not suitable as a primary source of nutrition for infants and does not address the potential underlying issue of cow's milk intolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hemoglobin (Hgb) of 12 g/dL is within the normal range for a pregnant individual and does not typically require notification of the provider.
B. Platelet count of 90,000/mm3 is below the normal range (typically 150,000 to 400,000/mm3) and may indicate thrombocytopenia, which can be associated with conditions such as preeclampsia or HELLP syndrome. The nurse should notify the provider about this result.
C. Hematocrit of 37% is within the normal range for a pregnant individual and does not typically require notification of the provider.
D. Creatinine level of 0.7 mg/dL is within the normal range and does not typically require notification of the provider.
Correct Answer is D
Explanation
A. Platelets within the normal range indicate appropriate clotting function and are not concerning in this scenario.
B. Red blood cell (RBC) count within the normal range suggests normal oxygen-carrying capacity and is not directly related to the client's symptoms.
C. Hemoglobin (Hgb) level within the normal range indicates adequate oxygen-carrying capacity and is not directly related to the client's symptoms.
D. An international normalized ratio (INR) of 5.2 is significantly elevated and indicates that the client's blood is not clotting properly. This could be a result of excessive anticoagulation from heparin therapy, which may lead to bleeding complications such as bloody stools. Therefore, the nurse should report this finding to the provider for further evaluation and possible adjustment of the anticoagulant therapy.
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