The nurse is continuing to care for the infant.

The nurse is providing teaching to the parents of the infant.

For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.

Feed infant in a supine position

Offer smaller, more frequent feedings

Thicken formula feedings with rice cereal

Place infant in a side lying position for sleep.

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Feed infant in a supine position: Contraindicated

Supine feeding increases the risk of aspiration and exacerbates reflux.

Offer smaller, more frequent feedings: Appropriate

Smaller, frequent feedings reduce gastric distension and reflux episodes.

Thicken formula feedings with rice cereal: Appropriate

Thickened feedings can help reduce reflux by increasing the weight of the stomach contents.

Place infant in a side-lying position for sleep: Contraindicated

The recommended sleep position for infants is supine (on the back) to reduce the risk of sudden infant death syndrome (SIDS).

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Correct Answer is A

Explanation

A. The child's BMI: Children with cystic fibrosis often have difficulty absorbing nutrients due to pancreatic insufficiency. Monitoring the child's BMI provides a good overall indicator of nutritional status, as it accounts for both weight and height.
B. The child's pancreatic enzyme dose: While important, the enzyme dose is adjusted to help the child digest food, but it does not directly assess nutritional status.
C. The child's diet: The diet is important, but it doesn't provide a direct, quantifiable measure of nutritional status. It's more of a management tool.
D. The child's stool analysis: Stool analysis can help assess malabsorption, but it does not directly reflect overall nutritional status in terms of growth or weight gain.

A. "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale." B. "If I get a reading in the green zone, I will tell my parents right away so they can call the doctor." C. "I will slowly exhale through the mouthpiece over a 10-second interval." D. "I will record the highest reading of the three attempts."

Correct Answer is D

Explanation

A. "I will breathe in through the mouthpiece, hold my breath for 5 seconds, and then exhale.": Incorrect because the child should exhale forcefully and quickly into the device, not inhale or hold their breath.
B. "If I get a reading in the green zone, I will tell my parents right away so they can call the doctor.": Incorrect because a green zone reading indicates controlled asthma, and no immediate action is required.
C. "I will slowly exhale through the mouthpiece over a 10-second interval.": Incorrect because the exhalation should be rapid and forceful to measure peak flow effectively.
D. "I will record the highest reading of the three attempts." Recording the highest reading ensures accurate monitoring of airway status and helps the child track their progress over time.

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The nurse is continuing to care for the infant. The nurse is providing teaching to the parents of the infant. For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an outpatient clinic is caring for a school-age child who has cystic fibrosis. Which of the following findings should the nurse monitor as the best indication of the child's nutritional status?

Correct Answer is A

Explanation

A nurse is teaching an adolescent how to use a peak expiratory flow meter (PEFM). The nurse should identify that which of the following statements by the child indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is planning to obtain a rectal temperature from a toddler. Which of the following actions should the nurse take?

A nurse is assessing a 9-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe fluid volume deficit?

A nurse is planning care for a newly admitted child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?

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A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following parent statements indicate understanding of the teaching?

A nurse is planning a community education series for teachers of children who have attention-deficit hyperactivity disorder (ADHD). Which of the following classroom strategies should the nurse include in the teaching?

The nurse is continuing to care for the infant.

The nurse is providing teaching to the parents of the infant.

For each instruction, click to specify if the instruction is appropriate or contraindicated for the infant.