The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

Avoid smoke exposure.

Inspect the infant's ears daily.

Position prone after feeding.

Breastfeed frequently.

Answer and Explanation

The Correct Answer is A

To prevent recurrence of otitis media in their infant. Exposure to secondhand smoke has been identified as a risk factor for recurrent otitis media.

B. While it is important to monitor the infant's ears for signs of infection, daily inspection alone is not sufficient to prevent recurrence of otitis media.

C. The prone position after feeding is not recommended for infants due to the risk of choking and aspiration, and it is not a preventive measure for otitis media.

D. While breastfeeding is associated with a reduced risk of otitis media, frequent breastfeeding alone is not sufficient to prevent recurrence of the condition.

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Correct Answer is C

Explanation

In a 5-week-old infant presenting with a history of projectile vomiting after feedings, the nurse should expect to assess an olive-size mass in the epigastric area. This finding is consistent with pyloric stenosis, a condition in which the muscle at the bottom of the stomach that controls the ﬂow of food into the small intestine becomes thickened and narrowed.

Rebound tenderness in the left lower abdominal quadrant, stool that consists of mucus and blood, and frequent burping accompanied by poor feeding are not typically associated with pyloric stenosis.

A. Understanding that nonstimulant medications show litle benefit in treatment. B. Designating an established area for study. C. Anticipating being automatically entered into a specialized education plan. D. Knowing that medication is not always the best approach to treatment. F. Maintaining a consistent home schedule.

Correct Answer is ["B","D","F"]

Explanation

Answer: B, D, F

Rationale:

A) Understanding that nonstimulant medications show little benefit in treatment: This is inaccurate, as nonstimulant medications like atomoxetine can be effective for ADHD, especially in children who may not tolerate stimulants. Nonstimulants are often considered a viable alternative or adjunctive treatment.

B) Designating an established area for study: Creating a dedicated study space can help a child with ADHD focus on tasks and minimize distractions, which is beneficial for completing homework and improving concentration in a structured environment.

C) Anticipating being automatically entered into a specialized education plan: An Individualized Education Plan (IEP) or 504 Plan for ADHD is not automatic and typically requires evaluation and recommendation from school staff. The plan is individualized based on the child’s specific needs.

D) Knowing that medication is not always the best approach to treatment: Recognizing that treatment can involve behavioral interventions, counseling, and environmental adjustments, in addition to or instead of medication, reflects a balanced understanding of ADHD management.

F) Maintaining a consistent home schedule: Consistent routines help children with ADHD manage expectations and reduce stress, enhancing their ability to focus and transition smoothly between activities.

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The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?

Correct Answer is C

Explanation

The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with atention-deficit/hyperactivity disorder (ADHD). Which statement(s) made by the caregiver demonstrate an understanding of the education? Select all that apply.

Correct Answer is ["B","D","F"]

Explanation

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The nurse is providing education to parents about preventing otitis media recurrence in their infant. Which instruction should the nurse include?

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