After a cleft lip repair, a child is receiving formula feedings through a syringe. The child's parent is participating in care. Which of these actions by the parent indicates a need for further instructions about feeding the child? The caregiver:.
Holds the child's head in an upright position during feeding.
Places the tip of the syringe in the side of the child's mouth.
Burps the child frequently during the feeding.
Places the child in a prone position after feeding.
The Correct Answer is D
The correct answer is choice d. Places the child in a prone position after feeding.
Choice A rationale:
Holding the child’s head in an upright position during feeding is appropriate as it helps prevent aspiration and ensures proper swallowing.
Choice B rationale:
Placing the tip of the syringe in the side of the child’s mouth is correct because it helps direct the formula to the back of the mouth, reducing the risk of choking.
Choice C rationale:
Burping the child frequently during the feeding is necessary to release any swallowed air, which can help prevent discomfort and spitting up.
Choice D rationale:
Placing the child in a prone position after feeding is incorrect and indicates a need for further instructions. After feeding, the child should be placed in an upright or slightly elevated position to prevent aspiration and reduce the risk of gastroesophageal reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Neck vein distention might be seen in conditions affecting venous return to the heart, such as heart failure, but it's not a specific symptom of closed head injury.
Choice B rationale:
Fixed, dilated pupils are a classic sign of increased intracranial pressure. The pressure can compress the cranial nerves, leading to changes in pupillary size and reactivity.
Choice C rationale:
Shortness of breath is more related to respiratory issues and might not be directly linked to a closed head injury.
Choice D rationale:
Glycosuria, the presence of glucose in the urine, is not a primary symptom of closed head injury. It could be related to diabetes or other metabolic conditions.
Correct Answer is A
Explanation
Choice A rationale:
This response acknowledges the client's feelings, addresses the immediate situation, and offers an alternative without judgment.
Choice B rationale:
Asking "What's wrong? Haven't you ever lost a game before?”. might come across as dismissive and insensitive to the client's emotions.
Choice C rationale:
Simply saying "I am sure you'll win the next game”. minimizes the client's feelings and does not address the current situation.
Choice D rationale:
Telling the client that "other children will not want to play with you if you act like that”. is a negative and shaming response, which is counterproductive to building a therapeutic relationship.
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