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).

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

A. Applying heat to the affected areas: In vaso-occlusive crises associated with sickle cell disease,heat packs can be a helpful part of pain management, but they should be used with caution and not in all situations.
B. Administering prophylactic antibiotics: While prophylactic antibiotics are important in preventing infections in sickle cell anemia, this is not the immediate priority during a vaso-occlusive crisis.
C. Administering the pneumococcal vaccine: While vaccination is important, it is not a priority during a vaso-occlusive crisis.
D. Promoting bed rest: The nurse should assist the child to assume a comfortable position so that the child keeps the extremities extended to promote venous return; elevate the head of the bed no more than 30 degrees and avoid putting strain on painful joints.

A. Elevate the child's residual limb for 48 hr. B. Apply a loose-fitting bandage onto the child's residual limb. C. Perform active and isotonic range-of-motion exercises. D. Clean the incision using half-strength hydrogen peroxide every 8 hr.

Correct Answer is C

Explanation

A. Elevate the child's residual limb for 48 hr. Elevation for prolonged periods can cause flexion contractures. Elevation is typically limited to the first 24 hours, if at all.
B. Apply a loose-fitting bandage onto the child's residual limb. A compression bandage, not loose-fitting, is used to shape the residual limb and reduce swelling.
C. Perform active and isotonic range-of-motion exercises. These exercises prevent contractures and maintain muscle strength.
D. Clean the incision using half-strength hydrogen peroxide every 8 hr. Hydrogen peroxide can damage healthy tissue and delay healing. Saline or antiseptic solutions are preferred.

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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 is planning care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the nurse's priority?

Correct Answer is D

Explanation

A nurse is planning care for a child who is postoperative following a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is teaching the parent of a school-age child who has cystic fibrosis about home care. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is caring for an infant who is not tolerating enteral feeding through a nasogastric tube. The provider inserts a nasojejunal feeding tube and prescribes bolus enteral feedings. Which of the following actions should the nurse take first?

A nurse is providing discharge teaching to the parent of a 5-year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an 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?

A nurse in a pediatric clinic is providing teaching to the parent of an infant who has gastroesophageal reflux (GER). The nurse should identify that which of the following statements by the parent indicates an understanding of the teaching?

A nurse is caring for a 6-month-old infant who has acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication of moderate hypovolemia?

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.