Patient Data
Select the 3 statements that indicate that the parents understand discharge instructions.
Our child will quit pulling his ears when he is feeling better.
We will place a cold pack on the ear.
We will place the medication dropper deep into the ear canal.
We will smoke outside.
We will stop giving the antibiotic when he feels better.
Our child can suck on a bottle when sitting upright.
Correct Answer : A,D,F
Rationale:
A. Our child will quit pulling his ears when he is feeling better: This indicates that the parents understand the expected outcome of pain relief after treatment with medications, including ibuprofen and lidocaine ear drops.
B. We will place a cold pack on the ear: While cold packs may provide comfort, this statement is not a primary instruction for managing ear pain in this scenario and does not reflect understanding of prescribed treatment.
C. We will place the medication dropper deep into the ear canal: This is unsafe, as drops should be administered at the entrance of the ear canal without forcing the dropper deep, demonstrating lack of understanding.
D. We will smoke outside: This shows that the parents understand the importance of avoiding secondhand smoke exposure, which can exacerbate respiratory and ear infections in toddlers.
E. We will stop giving the antibiotic when he feels better: Stopping antibiotics early can lead to incomplete treatment and recurrence of infection, indicating a misunderstanding of proper antibiotic adherence.
F. Our child can suck on a bottle when sitting upright: This demonstrates understanding of safe feeding practices to prevent aspiration, particularly given the toddler’s upper respiratory symptoms and recent illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Monitor the stool and urine output of the neonate for the last 24 hours: Monitoring elimination patterns is important to assess hydration and feeding adequacy. However, a weight loss of approximately 6% from birth is within the expected physiologic range and does not require immediate intervention.
B. Inform and assure the mother that this is a normal weight loss: Newborns typically lose 5–10% of their birth weight during the first 3–5 days due to fluid shifts and limited initial intake. The nurse’s priority is to reassure the mother, explain that this is expected, and continue supporting regular feeding.
C. After verifying the accuracy of the weight, notify the healthcare provider: Notifying the healthcare provider is necessary if the weight loss exceeds 10% of birth weight or if there are signs of dehydration. In this case, the loss is within the normal range.
D. Encourage the mother to increase frequency of breastfeeding: Increasing feeding frequency is important if the infant shows inadequate intake or excessive weight loss. Since the weight loss is physiologic and expected, routine feeding patterns can continue.
Correct Answer is ["10"]
Explanation
Calculation:
Desired dose = 500 mg.
Available concentration = 250 mg / 5 mL
= 50 mg/mL.
- Calculate the volume to administer in milliliters (mL).
Volume to administer (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 500 mg / 50 mg/mL
= 10 mL.
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