Following surgery for pyloric stenosis, an infant awoke from anesthesia hungry and crying. What is the most appropriate nursing action?
Delay feeding the child for 6 hours.
Offer regular formula thinned with water.
Give small amounts of regular formula thickened with cereal.
Allow 1 ounce of glucose water at frequent intervals.
The Correct Answer is D
A. Delaying feeding for 6 hours is unnecessary and can lead to increased irritability and hunger; feedings are usually resumed within a few hours post-op once the infant is alert.
B. Thinning formula with water is not appropriate and may disturb the electrolyte balance.
C. Thickened feedings are used to manage reflux, not after pyloric stenosis surgery.
D. Starting with small amounts of glucose water is the standard post-operative feeding approach. It is well tolerated and allows assessment of feeding readiness before progressing to formula or breast milk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hepatitis C is primarily transmitted through blood-to-blood contact, such as sharing needles or receiving contaminated blood products. It is not spread through casual contact like hugging, talking, or being in the same room.
B. Gowns and gloves are not necessary for casual contact with a client with hepatitis C and may reinforce unnecessary fear.
C. Hepatitis A, not hepatitis C, is transmitted through the fecal-oral route.
D. While offering an update is supportive, it does not address the brother's misunderstanding about how hepatitis C is transmitted.
Correct Answer is ["44"]
Explanation
Step 1: Identify the infusion rate in mL per hour.
175 mL/h
Step 2: Convert hours to minutes.
175 mL/h ÷ 60 min/h = 2.92 mL/min
Step 3: Use the formula:
Flow rate (gtt/min) = (mL/min) × Drop factor
Step 4: Plug in the values:
Flow rate = 2.92 mL/min × 15 gtt/mL = 43.8
Step 5: Round to the nearest whole number.
Flow rate ≈ 44 gtt/min
Final Answer: 44 gtt/min
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