A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods.
The nurse should recommend that which of the following foods be introduced first?

Iron-fortified cereal.

Strained fruits.

Pureed meats.

Cooked egg whites.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The American Academy of Pediatrics and the Dietary Guidelines for Americans recommend that children be introduced to foods other than breast milk or infant formula when they are about 6 months old. The first foods to be introduced should be single-ingredient foods that contain no sugar or salt. Among the first foods to be introduced are infant cereals. Iron-fortified cereals are particularly important because iron is a crucial nutrient in the second half of a baby’s first year.

Choice B rationale

While strained fruits are a common food to introduce early on, they are typically not the first food to be introduced. The first food is usually an iron-fortified cereal due to the importance of iron in a baby’s diet.

Choice C rationale

Pureed meats are also a good source of iron and can be introduced early on. However, they are not typically the first food to be introduced.

Choice D rationale

Cooked egg whites are not typically one of the first foods introduced to infants. There is also a risk of allergic reactions with egg whites, so they should be introduced with caution and not as the first food.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Asking the guardians to leave during the procedure is not recommended. The presence of a familiar person can provide comfort and reduce anxiety for the toddler during a stressful procedure.

Choice B rationale

Performing the procedure with the child in his bed can provide a sense of security and familiarity, which can help reduce anxiety and fear.

Choice C rationale

Using the child’s favorite toy to explain or distract during the procedure can help the child understand what to expect and provide a sense of control.

Choice D rationale

Applying lidocaine and prilocaine (EMLA) Cream to 2-3 potential insertion sites can help numb the area and reduce pain during the procedure.

Choice E rationale

Allowing the child to make one choice regarding the procedure can provide a sense of control and cooperation.

A. Apply suction continuously while inserting the suction catheter. B. Use a large diameter suction catheter for better suctioning. C. Suction for no more than 10 seconds at a time. D. Apply suction while the child is exhaling.

Correct Answer is C

Explanation

Choice A rationale

Applying suction continuously while inserting the suction catheter is not recommended. This could potentially cause trauma to the trachea and lead to complications.

Choice B rationale

Using a large diameter suction catheter for better suctioning is not recommended. The size of the suction catheter should be appropriate for the size of the tracheostomy tube. Using a catheter that is too large could cause trauma to the trachea.

Choice C rationale

Suctioning for no more than 10 seconds at a time is recommended to prevent hypoxia (lack of oxygen). Prolonged suctioning can lead to complications such as hypoxia, trauma to the trachea, and cardiac arrhythmias.

Choice D rationale

Applying suction while the child is exhaling is not recommended. Suction should be applied while withdrawing the suction catheter, not during exhalation.

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A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods.The nurse should recommend that which of the following foods be introduced first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with preparing a toddler for an intravenous procedure. Which of the following actions should the nurse take? (Select all that apply)

Correct Answer is ["B","C","D","E"]

Explanation

When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods.
The nurse should recommend that which of the following foods be introduced first?