The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?

Vitamin E.

Vitamin D.

Iron.

Calcium.

Answer and Explanation

The Correct Answer is B

Choice A reason: Vitamin E is not typically deficient in evaporated milk formulas, and supplementation is not standard. Vitamin D is critical to prevent rickets in infants, making this incorrect, as it does not address the primary nutritional gap in homemade evaporated milk formulas for an 8-month-old.

Choice B reason: Evaporated milk lacks sufficient vitamin D, essential for calcium absorption and bone health in an 8-month-old. Ensuring vitamin D supplementation prevents rickets, aligning with pediatric nutrition guidelines, making it the correct ingredient to include in the infant’s homemade formula diet.

Choice C reason: Iron is important but less critical in evaporated milk, which retains some iron, and infants have stores until 6 months. Vitamin D is the primary deficiency, making this incorrect compared to addressing the urgent need for vitamin D in the 8-month-old’s formula.

Choice D reason: Evaporated milk contains adequate calcium, unlike vitamin D, which is deficient and critical for bone development. Ensuring vitamin D inclusion is prioritized, making this incorrect, as calcium supplementation is not the primary concern in the infant’s evaporated milk formula diet.

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Correct Answer is C

Explanation

Choice A reason: Caregiver holding may comfort but is unreliable for keeping a wiggly 5-year-old still, risking IV dislodgement. A clove-hitch restraint ensures arm stability while allowing some movement, making this less safe and incorrect for maintaining IV security during antibiotic infusion in a resistant child.

Choice B reason: Mummy restraints are excessive for an IV, restricting the whole body and potentially distressing a 5-year-old. A clove-hitch restraint targets the arm, balancing safety and comfort, making this overly restrictive and incorrect for the specific need to secure the IV site in this scenario.

Choice C reason: A clove-hitch restraint secures the arm, preventing IV dislodgement in a resistant 5-year-old while allowing some movement. Loosening every 2 hours ensures circulation, aligning with pediatric nursing safety standards for IV therapy, making it the correct method for ensuring safety during infusion.

Choice D reason: A papoose board is used for short procedures, not prolonged IV infusions, and releasing immediately negates its purpose. A clove-hitch restraint maintains IV security over time, making this impractical and incorrect for ensuring safety during the antibiotic infusion period for the child.

A. “The sebaceous and sweat glands are fully functional in the infant.” B. “The integumentary system is not in place until after the child is born and then takes many years to mature.” C. “The largest organ of the body helps regulate body temperature.” D. “One role of the integumentary system is to distribute oxygen to the body cells.”

Correct Answer is C

Explanation

Choice A reason: Infant sebaceous and sweat glands are not fully functional, developing postnatally. The skin’s role in temperature regulation is accurate, making this incorrect, as it misstates infant integumentary function in the instructor’s presentation to student nurses on the system’s role.

Choice B reason: The integumentary system is present at birth, though maturing over time, not absent until after birth. Temperature regulation is a key function, making this incorrect, as it exaggerates the system’s developmental timeline in the instructor’s presentation on the integumentary system.

Choice C reason: The skin, the body’s largest organ, regulates temperature through sweating and vasodilation, a primary integumentary function. This aligns with physiological principles, making it the most accurate statement for the instructor to present to student nurses about the integumentary system’s role.

Choice D reason: Oxygen distribution is a respiratory and circulatory function, not integumentary. The skin’s temperature regulation is correct, making this incorrect, as it misattributes a role to the integumentary system in the instructor’s presentation to student nurses on its physiological functions.

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The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Tess is a 5-year-old client who must receive an IV infusion of antibiotics. She is anxious, resistant, and wiggly. To keep her safe during the time the IV is in place, the nurse would choose which method to restrain her?

Correct Answer is C

Explanation

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system?

Correct Answer is C

Explanation

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