The nurse is discussing feeding with parents of a 1-year-old. Important teaching points should include:

Do not let the child feed herself finger foods as this could lead to aspiration.

Give whole milk until the child is 2 years old.

Do not introduce foods which may cause allergies until 2 years of age.

Transition to 1% milk now to ensure a heart healthy diet.

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement is incorrect, as letting the child feed herself finger foods is not a risk factor for aspiration, but a way to promote self-feeding skills, independence, and appetite. The nurse should encourage the parents to offer the child a variety of soft, bite-sized, and nutritious foods, such as cooked vegetables, fruits, cheese, or bread, and to supervise the child during meals.

Choice B reason: This statement is correct, as giving whole milk is recommended for children between 1 and 2 years old, as it provides adequate fat, protein, calcium, and vitamin D for their growth and development. The nurse should advise the parents to give the child about 16 to 24 ounces of whole milk per day, and to avoid low-fat or skim milk until the child is 2 years old.

Choice C reason: This statement is incorrect, as delaying the introduction of foods which may cause allergies is not necessary or beneficial for the prevention of food allergies in children. The nurse should inform the parents that there is no evidence that avoiding certain foods, such as eggs, peanuts, or fish, can reduce the risk of food allergies, and that introducing these foods early, around 6 months of age, may actually prevent or reduce the severity of food allergies.

Choice D reason: This statement is incorrect, as transitioning to 1% milk is not advisable for children under 2 years old, as it does not provide enough fat and calories for their growth and development. The nurse should explain to the parents that low-fat or skim milk is not suitable for young children, as they need more fat for their brain and nervous system development, and that switching to 1% milk should only be done after consulting with the doctor.

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Correct Answer is A

Explanation

Choice A reason: This statement is correct, as hydrostatic reduction of telescoped bowel with an air or saline enema is the preferred treatment for intussusception, which is a condition where a segment of the intestine slides into another segment, causing obstruction, inflammation, and ischemia. The enema can help to push the invaginated bowel back to its normal position, relieve the obstruction, and restore the blood flow. The procedure is safe, effective, and minimally invasive, and can avoid the need for surgery.

Choice B reason: This statement is incorrect, as hydrostatic reduction of telescoped bowel with an air or saline enema is not a false statement, but a true one. The nurse should be aware of the indications, contraindications, and complications of this procedure, and monitor the child's vital signs, abdominal distension, bowel sounds, and stool output before, during, and after the enema. The nurse should also educate the parents about the signs and symptoms of recurrence, such as abdominal pain, vomiting, or bloody stools.

A. A sense of hopelessness and despair are a normal part of adolescence. B. Previous suicide attempts are not an indication of risk for completed suicides. C. LGBT adolescents are at a particularly high risk for suicide. D. Problem-solving skills are of limited value to the suicidal adolescent.

Correct Answer is C

Explanation

Choice A reason: This statement is false, as a sense of hopelessness and despair are not a normal part of adolescence, but signs of depression and suicidal ideation. The nurse should educate the adolescents and their parents about the warning signs of suicide and the importance of seeking professional help.

Choice B reason: This statement is false, as previous suicide attempts are a major risk factor for completed suicides. The nurse should assess the adolescents for any history of self-harm or suicide attempts and provide them with appropriate interventions and referrals.

Choice C reason: This statement is true, as LGBT adolescents are at a particularly high risk for suicide due to the stigma, discrimination, and bullying they may face from their peers, family, and society. The nurse should provide a safe and supportive environment for the LGBT adolescents and connect them with resources and support groups.

Choice D reason: This statement is false, as problem-solving skills are of great value to the suicidal adolescent. The nurse should teach the adolescents how to cope with stress, deal with conflicts, and seek help when needed. The nurse should also help the adolescents develop positive self-esteem and resilience.

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The nurse is discussing feeding with parents of a 1-year-old. Important teaching points should include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The treatment of choice in a child with intussusception who is not showing signs of sepsis or shock is hydrostatic reduction of telescoped bowel with an air or saline enema. True or False?

Correct Answer is A

Explanation

A school nurse is conducting a class with adolescents on suicide. Which true statement about suicide should the nurse include in the teaching session?

Correct Answer is C

Explanation

An 18-month-old is admitted to the Emergency Department in hypovolemic shock. What would be the correct order of nursing interventions (assuming MD orders were written)?

Which statement regarding atopic dermatitis (eczema) in the infant is most accurate?

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Which assessment finding would cause the nurse to notify the MD immediately when assessing a 10-month-old child who had emergency reduction for intussusception 10 hours previously?

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The nurse is explaining Tanner staging to an adolescent and her mother. Which statement best describes Tanner staging?

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