A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?

12 months

10 months

8 months

6 months

Answer and Explanation

The Correct Answer is A

A.   The recommendation to introduce whole milk is typically at 12 months of age. By this time, the infant's digestive system is mature enough to handle whole milk, and they have likely begun eating a variety of solid foods. Whole milk provides essential nutrients such as calcium and vitamin D, which are important for the child’s development at this stage.
B.   At 10 months, the infant is still primarily reliant on breast milk or formula for their nutritional needs. Introducing whole milk before 12 months is generally not recommended because the infant's digestive system might not be fully developed to handle whole milk, and it may not provide adequate nutrition compared to breast milk or formula.
C.   At 8 months, the infant is usually beginning to explore solid foods but is still dependent on breast milk or formula for the majority of their nutrition. Whole milk is not recommended at this age as the infant’s digestive system is not yet mature enough to handle it, and the nutritional needs are best met with breast milk or formula.
D.   By 6 months, infants are typically starting to be introduced to solid foods but should continue receiving breast milk or formula as their primary source of nutrition. Whole milk is not recommended at this age as the infant’s kidneys and digestive system are not fully developed to process it.

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Correct Answer is D

Explanation

A. Crutches should not be used to support body weight under the arms, as this can cause nerve damage or discomfort. Instead, weight should be supported on the hands and arms, with the crutches positioned to support the client’s weight. Proper use involves placing the crutches slightly in front of the feet, with weight supported on the hands, not the underarms.
B. While it's important to be aware of your surroundings, looking down at your feet can be counterproductive as it may affect balance and coordination. The client should maintain an upright posture and look ahead to ensure proper gait and balance while moving. This helps in coordinating the movement of crutches and feet more effectively.
C. In a four-point gait, each crutch and foot move alternately, which is different from the three-point gait. The three-point gait involves moving both crutches and the affected leg forward simultaneously, followed by the unaffected leg.
D. In the three-point gait, the client moves both crutches forward at the same time while keeping the affected leg off the ground or in a non-weight-bearing position. Then, the client swings the unaffected leg forward to step past the crutches. This method ensures that weight is only placed on the unaffected leg while moving.

A. Ibuprofen B. Omeprazole C. Senna D. Zolpidem

Correct Answer is C

Explanation

A. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain and inflammation. While it does not directly affect bowel obstruction, NSAIDs can cause gastrointestinal irritation and potentially worsen symptoms in some patients. However, it is not the primary medication to withhold due to a small bowel obstruction.
B. Omeprazole is a proton pump inhibitor (PPI) that reduces stomach acid. It is generally safe to use in the context of a small bowel obstruction because it does not affect bowel motility directly. It might be used to manage symptoms related to acid reflux or gastritis, which could be secondary issues in a patient with SBO.
C. Senna is a stimulant laxative used to promote bowel movements. In the context of a small bowel obstruction, administering a laxative like Senna is contraindicated because it can worsen the obstruction by increasing bowel motility or causing further distention. The primary goal in treating an SBO is to relieve the obstruction, and using a laxative could complicate the situation.
D. Zolpidem is a sedative-hypnotic used for short-term management of insomnia. It does not directly impact bowel function or obstruction. While not ideal for all patients, it does not specifically exacerbate a small bowel obstruction.

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A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is D

Explanation

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications?

Correct Answer is C

Explanation

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