A nurse is providing discharge teaching to the mother of a newborn about breastfeeding. Which of the following statements by the client does not indicatean understanding of the teaching?
"I will dilute juice with 50 percent water to supplement between feedings."
"I will begin and end with the same breast when I feed my baby."
"I should feed my baby on demand at least eight times each day."
"I should use pumped breast milk within 72 hours of refrigeration."
The Correct Answer is A
Choice A rationale:
Diluting juice with 50 percent water to supplement between feedings is not recommended for newborns. Newborns should primarily be receiving breast milk or formula to ensure proper nutrition. Offering diluted juice can lead to inadequate intake of essential nutrients and unnecessary exposure to sugar. It's important for the newborn's diet to be appropriate for their stage of development.
Choice B rationale:
Beginning and ending with the same breast during feeding sessions promotes effective breastfeeding and adequate milk supply. This approach ensures that the baby receives both the foremilk (low-fat milk that comes at the beginning of a feeding) and hindmilk (higher-fat milk that comes later in a feeding), which is important for proper nutrition and growth. This choice demonstrates an understanding of the principles of breastfeeding.
Choice C rationale:
Feeding the baby on demand at least eight times each day is a suitable recommendation. Newborns have small stomachs and need frequent feedings to meet their nutritional needs and support healthy growth. Feeding on demand helps establish a good milk supply and ensures that the baby gets enough milk to thrive.
Choice D rationale:
Using pumped breast milk within 72 hours of refrigeration is a correct statement. Breast milk can be refrigerated for a limited time while maintaining its nutritional quality. Using pumped milk within 72 hours helps minimize the risk of bacterial growth and ensures that the baby receives milk that's still rich in nutrients and antibodies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Serving foods while still at a hot temperature (Choice A) is not an appropriate intervention for a client with stomatitis following radiation therapy. Stomatitis can cause inflammation and soreness in the mouth, and hot foods can further irritate the sensitive tissues, leading to increased discomfort and potential injury.
Choice B rationale:
Serving foods without sauces or gravies (Choice B) is the correct choice. Stomatitis often causes pain and discomfort in the mouth, and spicy or acidic foods, as well as those with sauces or gravies, can exacerbate this discomfort. Providing plain and bland foods can help reduce irritation and promote healing in sensitive oral tissues.
Choice Crationale:
Instructing the client to drink liquids without a straw (Choice C) is not a direct intervention for stomatitis. It's more commonly recommended for clients who have undergone oral surgery to prevent dislodging of blood clots. While it's generally a good practice for oral health, it might not significantly impact the discomfort caused by stomatitis.
Choice Drationale:
Offering mouth rinses with normal saline and water (Choice D) is generally a good practice for maintaining oral hygiene, but it might not be the most appropriate intervention for a client with stomatitis following radiation therapy. While rinsing can help keep the mouth clean, it might cause discomfort in the presence of stomatitis due to the potential for mechanical irritation.
Correct Answer is B
Explanation
Choice A rationale:
Serum potassium at 4.8 mEq/L is within the normal range (typically around 3.5-5.0 mEq/L), but potassium levels are not the primary concern when assessing the effectiveness of a phosphate binder for end-stage renal disease.
Choice B rationale:
This choice is the correct answer. Total calcium levels around 9.7 mg/dL (normal range approximately 8.5-10.2 mg/dL) are important indicators of the effectiveness of a phosphate binder. These levels reflect the balance between calcium and phosphate in the body, which is crucial for bone health and various physiological functions.
Choice C rationale:
Sodium at 136 mEq/L (normal range approximately 135-145 mEq/L) is within the normal range but is not a direct indicator of the effectiveness of a phosphate binder for end-stage renal disease.
Choice D rationale:
Hemoglobin at 15 g/dL (normal range varies by gender and age but is roughly 12-16 g/dL for adult females and 14-18 g/dL for adult males) is not related to the effectiveness of a phosphate binder. Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are more relevant in assessing anemia or other blood-related conditions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.