A nurse is teaching the mother of an 8-week-old infant who is breastfed about methods to manage colic. Which of the following instructions should the nurse recommend? (Select all that apply.)
Feed the infant 1/2 tsp of honey daily.
Allow the infant to suck on a pacifier.
Apply a hot water bottle to the infant's abdomen.
Offer the infant 1 oz of star anise tea.
Have the mother avoid milk products.
Correct Answer : B,E
A. Feed the infant 1/2 tsp of honey daily: Honey should never be given to infants under 1 year due to the risk of botulism. This is unsafe and not recommended for managing colic.
B. Allow the infant to suck on a pacifier: Sucking on a pacifier can help soothe and calm infants, which may reduce crying episodes associated with colic. It is a safe and effective non-pharmacologic intervention.
C. Apply a hot water bottle to the infant's abdomen: Applying heat directly to an infant’s abdomen is unsafe because of the risk of burns. Warm baths or gentle tummy rubs are safer alternatives.
D. Offer the infant 1 oz of star anise tea: Herbal teas like star anise are not recommended for infants due to potential toxicity and lack of proven benefit in colic management.
E. Have the mother avoid milk products: If the infant is breastfed, maternal consumption of dairy can sometimes exacerbate colic due to sensitivity to cow’s milk proteins. A trial of eliminating milk products from the mother’s diet can help reduce symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fixed and dilated pupils: Fixed and dilated pupils typically indicate severe brain injury or increased intracranial pressure, which is unlikely in a minor head injury. These findings are more characteristic of significant trauma or neurological compromise rather than an expected symptom in minor cases.
B. Fever: Fever is not a direct consequence of a minor head injury. While infection or other complications can cause fever, it is not an expected finding immediately following a minor head trauma in an otherwise healthy adolescent.
C. Retinal hemorrhages: Retinal hemorrhages are usually associated with non-accidental trauma or severe head injuries. In a minor head injury from a typical accident, retinal hemorrhages are not expected and would warrant further investigation for other causes.
D. Vomiting: Vomiting is a common and expected symptom following a minor head injury, often due to transient increases in intracranial pressure or vestibular disturbance. It is frequently observed in adolescents after mild concussions and should be monitored for severity and frequency.
Correct Answer is D
Explanation
A. Attach the feeding bag tubing to the end of the NG tube: Attaching the feeding bag tubing should occur only after confirming correct tube placement. Connecting the feeding before verification increases the risk of administering formula into the lungs if the tube is misplaced.
B. Flush the tube with water: Flushing helps maintain tube patency, but it should be done after placement has been verified. Flushing an incorrectly placed tube could introduce fluid into the respiratory tract, posing a serious safety risk.
C. Set the administration rate on the feeding pump: Setting the feeding rate is part of the preparation process but is not the priority action. Safety measures, particularly verifying tube placement, must be completed before adjusting pump settings.
D. Check the pH of the gastric secretions: Verifying NG tube placement is the first and most critical step prior to administering enteral feeding. Checking the pH of aspirated gastric contents helps confirm gastric placement and reduces the risk of aspiration or respiratory complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.