A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?

Warm the goat's milk before feeding.

Switch to soy milk.

Offer commercially prepared formula.

Reinitiate breast feeding.

Answer and Explanation

The Correct Answer is C

A.   Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk.
B.   Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns.
C.   Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk.
D.   Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.

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Correct Answer is D

Explanation

A. Offering sips of water 4 hours following surgery may be too early and could increase the risk of postoperative complications such as nausea and vomiting.
B. Assisting the adolescent to ambulate 12 hours following surgery may be too early depending on the surgical procedure and the adolescent's condition.
C. Maintaining the head of the bed at a 30° angle is incorrect because this position increases pressure on the spinal cord and can cause complications.
D. Logrolling the adolescent every 2 hours prevents spinal injury and promotes healing by keeping the spine in alignment

A. Encourage flexion and extension of the neck. B. Reposition the client using a turning sheet. C. Assess the pin sites for infection once every other day. D. Tighten the screws on the halo device one-quarter turn every 48 hr.

Correct Answer is B

Explanation

A. The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord.
B. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine.
C. The nurse should assess the pin sites for infection at least once a day, not every other day.
D. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage. Only a provider can adjust the screws on the halo device.

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A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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