A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

Give the infant a bottle immediately before the infant's bedtime.

Change the infant's formula to a soy-based formula.

Keep the infant at a 30° angle for 1 hr following each feeding.

Limit the infant's formula feedings to every 6 hr.

Answer and Explanation

The Correct Answer is C

Choice A reason:

Giving the infant a bottle immediately before bedtime can actually exacerbate gastroesophageal reflux, as lying down right after feeding can increase the likelihood of regurgitation.

Choice B reason:

Switching to a soy-based formula is not the first-line intervention for gastroesophageal reflux. Additionally, soy-based formulas are not recommended for all infants and should be used under specific circumstances.

Choice C reason:

This statement is correct. Keeping the infant at a 30° angle for 1 hour following each feeding can help reduce the likelihood of gastroesophageal reflux. This position helps gravity keep the stomach contents from flowing back up into the esophagus.

Choice D reason:

Limiting formula feedings to every 6 hours may not be appropriate for a 2-month-old infant, as they typically require more frequent feedings for proper growth and development.

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Correct Answer is D

Explanation

Choice A reason:

Avoiding discussing the child's diagnosis with the sibling may create unnecessary secrecy and could hinder the sibling's understanding and coping.

Choice B reason:

Designating one parent to stay at home with the sibling may not be necessary, as both parents can still provide support and care for both children.

Choice C reason:

Avoiding having the sibling visit the child in the facility may isolate them and prevent opportunities for bonding and support.

Choice D reason:

This statement is correct. Encouraging phone calls between the siblings allows them to maintain communication, express their feelings, and support each other during the separation caused by hospitalization.

A. An adolescent who has pneumonia B. A preschooler who has tuberculosis C. A school-age child who has Haemophilus influenzae type B disease D. An infant who has respiratory syncytial virus

Correct Answer is B

Explanation

Choice A reason:

Pneumonia is typically transmitted through respiratory droplets, and standard precautions are sufficient for preventing its spread.

Choice B reason:

Correct. Tuberculosis (TB) is an infectious disease that requires contact precautions. This helps prevent the spread of Mycobacterium tuberculosis, the bacteria that cause TB.

Choice C reason:

Haemophilus influenzae type B disease is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient.

Choice D reason:

Respiratory syncytial virus (RSV) is primarily transmitted through respiratory droplets, so standard precautions are generally sufficient. However, in some cases, droplet precautions may be recommended for infants and young children with severe RSV infections.

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A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

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