A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant.
Which of the following actions should the nurse plan to take?
Cover the insertion site with an opaque dressing
Use a 24-gauge catheter to start the IV
Start the IV on the infant’s foot
Change the IV site every 3 days
The Correct Answer is B
Choice A rationale
Covering the insertion site with an opaque dressing is not typically recommended for infants. Transparent dressings are usually preferred because they allow for easy inspection of the site for signs of infection or complications.
Choice B rationale
Using a 24-gauge catheter to start the IV is the correct action. This size is appropriate for a 12-month-old infant and will cause the least amount of discomfort and trauma to the vein.
Choice C rationale
Starting the IV on the infant’s foot is not typically recommended. The hands and arms are usually preferred sites for IV insertion in infants.
Choice D rationale
Changing the IV site every 3 days is not typically necessary unless there are signs of complications such as infection or infiltration. Frequent site changes can cause unnecessary discomfort and trauma to the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Aspartame is a low-calorie sweetener used in place of sugar. However, it is not recommended for individuals with phenylketonuria (PKU) because it contains phenylalanine, an amino acid that individuals with PKU cannot metabolize properly.
Choice B rationale
Individuals with PKU are advised to avoid foods containing milk products. This is because milk and other
dairy products contain phenylalanine, which individuals with PKU cannot metabolize properly. Instead, they are advised to consume a diet low in protein and supplemented with a phenylalanine-free medical formula.
Choice C rationale
Increasing protein consumption is not recommended for individuals with PKU. This is because protein-rich foods often contain phenylalanine, an amino acid that individuals with PKU cannot metabolize properly.
Instead, they are advised to consume a diet low in protein and supplemented with a phenylalanine-free medical formula.
Choice D rationale
Limiting foods high in iron is not specifically related to the dietary management of PKU. Individuals with PKU primarily need to avoid foods high in phenylalanine.
Correct Answer is A
Explanation
Choice A rationale
A preschool-age child being curious about what happened to the sibling’s body is an age-appropriate response to death. At this age, children often view death as temporary or reversible, and they may be curious about the physical realities of death.
Choice B rationale
A preschool-age child feeling responsible for the sibling’s death is not an age-appropriate response to death. While children at this age may sometimes believe their thoughts or actions can influence events, it’s not typical for them to feel personally responsible for a death.
Choice C rationale
A preschool-age child being able to give a logical explanation for the sibling’s death is not an age-appropriate response to death. Preschoolers typically have a limited understanding of the causes and permanence of death.
Choice D rationale
A preschool-age child viewing the sibling’s death as permanent is not an age-appropriate response to death. Most children in this age group do not understand that death is permanent.
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