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 B

Explanation

A. Decreasing gastric acid secretions is not the primary mechanism of action for metoclopramide. This action is more characteristic of medications like proton pump inhibitors (PPIs) or H2 receptor antagonists, which reduce stomach acid to help with conditions such as GERD or peptic ulcers.
B. Promoting gastric emptying is the correct explanation for how metoclopramide relieves nausea. Metoclopramide acts as a prokinetic agent, meaning it enhances gastrointestinal motility by increasing the movement of the stomach and intestines.
C. Slowing peristalsis is not the mechanism of action for metoclopramide. In fact, metoclopramide does the opposite by increasing peristalsis and gastrointestinal motility. Slowing peristalsis would typically exacerbate nausea and lead to delayed gastric emptying, which metoclopramide aims to counteract.
D. Relaxing gastric muscles is not how metoclopramide works. Metoclopramide’s primary action is to increase gastrointestinal motility rather than relaxing the gastric muscles. Other medications, such as antispasmodics, might be used to relax gastrointestinal muscles, but metoclopramide is not used for this purpose.

A. Vitamin C B. Vitamin A C. Vitamin B1 D. Vitamin B12

Correct Answer is B

Explanation

A. This vitamin is water-soluble, not fat-soluble. It is important for immune function, collagen synthesis, and antioxidant protection. Since it is water-soluble, it does not require fat for absorption and is not typically included in fat-soluble vitamin supplements.
B. This vitamin is fat-soluble, meaning it requires fat for absorption. In conditions like acute pancreatitis, where fat absorption may be impaired, supplementation with vitamin A might be necessary to ensure adequate levels. Vitamin A is crucial for vision, immune function, and skin health.
C. This is a water-soluble vitamin involved in carbohydrate metabolism and nervous system function. It does not require fat for absorption and is not typically supplemented in cases of impaired fat absorption. It is important but not related to the fat-soluble vitamin needs in pancreatitis.
D. This is also a water-soluble vitamin necessary for red blood cell formation and neurological function. Although it can be affected in conditions of poor absorption, it is not a fat-soluble vitamin. It requires intrinsic factor for absorption in the intestines but does not relate to fat-soluble vitamin supplementation.

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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 caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is B

Explanation

A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?

Correct Answer is B

Explanation

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