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. A urine output of 300 ml over 8 hours is within the expected range for a postoperative client and does not require immediate reporting.
B. Incorrect. Occasional small clots in the urine are common in the immediate postoperative period following a transurethral resection of the prostate and do not necessarily require immediate reporting.
C. Correct. Dark red urine can indicate bleeding and may be a sign of hemorrhage. This finding should be reported to the provider for further assessment and intervention.
D. Incorrect. A frequent urge to urinate is expected following a transurethral resection of the prostate, as irritation and swelling can occur in the immediate postoperative period.

A. "Alert the staff if any of your newborn's identification bands are missing." B. "Request that the nurses show their nursing license prior to removing your newborn from the room." C. "Leave your newborn in the bassinet in your room while you use the bathroom." D. "Carry your newborn back to the nursery in your arms when you need to rest."

Correct Answer is A

Explanation

A. Correct. This instruction helps ensure proper identification of the newborn, reducing the risk of mix-ups.
B. Incorrect. While verifying credentials is important, this action might not be feasible for every nurse and situation.
C. Incorrect. Leaving the newborn unattended is not a safe practice.
D. Incorrect. Carrying the newborn to the nursery might expose the newborn to unnecessary risks and separation.

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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

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