A nurse is providing teaching to the parents of a toddler about nutritional needs and habits. Which of the following instructions should the nurse include in the teaching?

"Allow the toddler to feed himself."

"Avoid snacks between meals."

"Provide different food for the toddler than the parents."

"Set meal times immediately after physical activity."

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Allowing the toddler to feed himself is an important aspect of promoting autonomy and developing fine motor skills. It encourages self-sufficiency and exploration of different food textures. However, close supervision is necessary to ensure the toddler's safety during feeding.
Choice B rationale:
Avoiding snacks between meals is not the most appropriate instruction for a toddler's nutritional needs. Toddlers have smaller stomach capacities and higher energy requirements due to their rapid growth. Healthy snacks can help meet their nutritional needs and prevent excessive hunger between meals.
Choice C rationale:
Providing different food for the toddler than the parents is not recommended. Ideally, toddlers should be exposed to the same nutritious foods that the family consumes. This practice helps establish healthy eating habits and exposes the toddler to a variety of foods.
Choice D rationale:
Setting meal times immediately after physical activity is not necessarily beneficial. While regular physical activity is important for toddlers, scheduling meals immediately after activity might lead to poor appetite or discomfort. It's generally better to ensure the toddler is well-rested and hungry before meals.

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Correct Answer is D

Explanation

Choice A rationale:
Diluting formula with water is not a recommended practice. Formula should be prepared according to the manufacturer's instructions to provide the appropriate balance of nutrients for the newborn. Diluting formula can lead to inadequate nutrition and potential health risks.
Choice B rationale:
Placing the newborn in a side-lying position if vomiting is not advised. Gastroesophageal reflux refers to the backward flow of stomach contents into the esophagus. Placing the newborn in a side-lying position can increase the risk of choking if vomiting occurs. Keeping the baby upright for some time after feeding helps reduce reflux episodes.
Choice C rationale:
Providing a small feeding just before bedtime can exacerbate gastroesophageal reflux. It's recommended to avoid feeding the baby right before bedtime to prevent reflux-related discomfort during sleep. Elevating the head of the crib slightly can also help minimize reflux symptoms.
Choice D rationale:
Positioning the newborn at a 20-degree angle after feeding is a suitable instruction. This position helps prevent or reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down. It's important to hold the baby in an upright position for about 20 to 30 minutes after feeding to facilitate digestion and minimize reflux episodes.

A. Serum potassium 4.8 mEq/L. B. Total calcium 9.7 mg/dL. C. Sodium 136 mEq/L. D. Hemoglobin 15 g/dL.

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.

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A nurse is providing teaching to the parents of a toddler about nutritional needs and habits. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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