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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Ketonuria is the presence of ketones in urine and is not directly associated with vaso-occlusive crisis in sickle cell anemia. This crisis typically involves pain and ischemia in various body parts.

Choice B rationale:

Diplopia refers to double vision and is not a typical symptom of vaso-occlusive crisis. Pain, not vision changes, is the primary concern in this scenario.

Choice C rationale:

Severe abdominal pain can be a symptom of vaso-occlusive crisis in sickle cell anemia, but the patient's complaint of left elbow pain would not directly correlate with this choice.

Choice D rationale:

Hyperactive patellar reflex is the correct answer. During vaso-occlusive crisis, the body's response to pain can lead to increased muscle tone and reflexes, including hyperactive deep tendon reflexes like the patellar reflex. This is an indicator of neurologic involvement in the crisis. Remember that these rationales are intended to provide a concise understanding of the correct answers based on the information provided in the questions. Always refer to medical literature and consult with healthcare professionals for comprehensive and accurate information.

A. Threat to body image. B. Fear of bodily injury. C. Loss of peer acceptance. D. Separation from parents.

Correct Answer is C

Explanation

Choice A rationale:

Threat to body image is not the primary concern for an 8-year-old patient undergoing diagnostic testing for seizures. Seizures are primarily neurological in nature.

Choice B rationale:

Fear of bodily injury might be a concern, but for an 8-year-old patient undergoing diagnostic testing for seizures, the more immediate concern would likely be related to their social interactions and acceptance among peers.

Choice C rationale:

Loss of peer acceptance is the most likely psychological concern for an 8-year-old patient during diagnostic testing. Children at this age are highly conscious of fitting in with their peers, and a medical condition might make them worry about being different.

Choice D rationale:

Separation from parents could be a concern for younger children, but 8-year-olds are generally more independent and less likely to experience extreme separation anxiety.

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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:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 11-year-old patient with sickle cell anemia is admitted to the hospital with vaso-occlusive crisis. He is experiencing pain in his left elbow. The nurse needs to monitor the patient for which symptom?

Correct Answer is D

Explanation

An 8-year-old patient suspected of having seizures is admitted to the hospital for a diagnostic workup. Which psychological concern is the patient most likely to have during diagnostic testing?

Correct Answer is C

Explanation

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A nurse takes all of these actions when caring for a 13-year-old who just returned from a cardiac catheterization. Which action is incorrect and requires further discussion?

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:.

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