A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions?

"If my baby doesn't finish a bottle of formula, I will let him finish it at the next feeding."

"I will position my baby on his stomach after feedings."

"I will feed my baby six to eight times a day."

"if my baby doesn't seem satisfied after a feeding, I will add rice cereal to his next bottle."

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Allowing the baby to finish a bottle at the next feeding increases the risk of overfeeding and can lead to problems such as excessive weight gain and discomfort.
B.   Incorrect. Placing the baby on their stomach after feedings increases the risk of choking and is not recommended. The correct position is to place the baby on their back to sleep.
C.   Correct. Newborns typically need to be fed approximately every 2-3 hours, which amounts to about six to eight feedings per day. This statement indicates an understanding of the frequency of feeding required for a newborn.
D.   Incorrect. Adding rice cereal to a newborn's bottle is not recommended, especially without medical advice, as it can increase the risk of choking and may not be developmentally appropriate.

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Correct Answer is B

Explanation

A. Encourage the client to gain 2.3 kg (5 lb) per week. This is not appropriate. Weight gain should be gradual in clients with anorexia nervosa, typically around 0.5 to 1 kg (1 to 2 pounds) per week, to prevent refeeding syndrome and support psychological adjustment.

B. Monitor the client for 15 min after meals. This is the correct intervention. Clients with anorexia nervosa may engage in purging behaviors (such as vomiting or excessive exercise) after meals. Monitoring for a period of time after eating helps prevent these behaviors and ensures safety.

C. Weigh the client each morning after voiding. Weighing clients with anorexia nervosa can be distressing and should be done consistently at the same time each day (ideally, before breakfast) but does not need to be after voiding. This may not be the priority intervention compared to monitoring post-meal behavior.

D. Reinforce teaching about healthy eating during meals. While teaching about healthy eating is important, it should not be done during meals, as clients with anorexia nervosa may have difficulty focusing on this information when under stress during eating. Instead, nutrition education should be provided outside of meals.

A. Elevates the client's legs before applying the stockings B. Instructs the client to dorsiflex their feet while applying the stockings C. Massages the client's legs before applying the stockings D. Folds the top of the stockings over after applying them

Correct Answer is A

Explanation

A. Elevating the client's legs before applying the stockings helps reduce venous stasis by promoting venous return and decreasing edema, which is essential for the effectiveness of the stockings.

B. Dorsiflexion of the feet can also aid in the application but is not as critical as elevation.

C. Massaging the legsis contraindicated as it may dislodge clots if present.

D.Folding the top of the stockings over can create a tourniquet effect and impede blood flow, which is harmful to the client.

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A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse recommend to include in the plan of care?

Correct Answer is B

Explanation

A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

Correct Answer is A

Explanation

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