A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?

Obtain the child's dietary history.

Offer the child nutritious snacks between meals.

Encourage the family to be with the child during mealtimes.

Instruct the family to praise the child when they eat.

Answer and Explanation

The Correct Answer is A

A.   Correct. Gathering information about the child's dietary history is the first step to understanding the potential underlying causes of poor intake.
B.   Incorrect. Offering nutritious snacks is important, but understanding the child's history is a higher priority.
C.   Incorrect. While family presence during mealtimes is important, addressing the child's dietary intake takes precedence.
D.   Incorrect. Praise is important but doesn't address the underlying issue of poor dietary intake.

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Correct Answer is C

Explanation

A. Incorrect. Countertransference refers to the nurse's emotional reaction to the client based on the nurse's personal feelings or past experiences.
B. Incorrect. Boundary crossing refers to the nurse's actions that blur the professional boundaries of the nurse-client relationship, and this action does not necessarily represent boundary-crossing.
C. Correct. The nurse's action of interrupting the bath to obtain a healthy meal for the client demonstrates an immediate response to the client's need and promotes trust and rapport between the nurse and the client.
D. Incorrect. Veracity refers to truthfulness and honesty, but it does not directly apply to the nurse obtaining a meal for the client who is hungry.

A. Place the client in a supine position. B. Ensure the device is kept below the level of the client's chest. C. Empty the collection chamber every 8 hr. D. Clamp the chest tube every 4 hr.

Correct Answer is B

Explanation

A. Incorrect. Placing the client in a supine position may impede drainage and is not recommended for a client with a chest tube.
B. Correct. Ensuring that the chest tube drainage system is kept below the level of the client's chest allows for proper drainage of fluid and prevents backflow of drainage into the client's chest.
C. Incorrect. The collection chamber should be emptied as needed to prevent overfilling, which could obstruct drainage.
D. Incorrect. Clamping the chest tube is not indicated for a client with a chest tube set to continuous suction, as it would interfere with the function of the drainage system.

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A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day. The nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has a chest tube set to continuous suction to relieve a pneumothorax. Which of the following interventions should the nurse include?

Correct Answer is B

Explanation

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