The practical nurse (PN) is caring for a 3-month-old male infant two days after a pylorotomy and notices that the infant is restless, grimacing, and drawing his knees to his chest. What action should the PN implement?

Obtain blood glucose level.

Burp the infant every two-hours.

Wrap him with a warm blanket.

Give prescribed analgesic.

Answer and Explanation

The Correct Answer is D

Choice A: Obtaining a blood glucose level is not the most relevant intervention for an infant displaying signs of discomfort or pain, such as restlessness, grimacing, and drawing knees to the chest.

Choice B: Burping the infant every two hours is a routine care measure for infants but may not address the specific signs of discomfort described in this scenario.

Choice C: Wrapping the infant with a warm blanket may provide comfort but does not directly address the underlying issue of restlessness and discomfort.

Choice D: Giving the prescribed analgesic is the most appropriate action for addressing the infant's signs of distress, such as restlessness, grimacing, and drawing knees to the chest. These signs suggest the possibility of pain, and administering the prescribed pain medication can help alleviate the discomfort.

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Correct Answer is A

Explanation

Choice A: Taking a prescribed analgesic an hour prior to breastfeeding can help alleviate the client's intense cramping while breastfeeding. This approach can provide effective pain relief.

Choice B: Changing the infant's position during the next feeding may or may not address the underlying cause of the client's intense cramping. Pain relief through medication is a more direct intervention.

Choice C: Drinking water before breastfeeding is important for hydration but may not directly address the cramping issue.

Choice D: Voiding and emptying the bladder before each feeding is a routine practice but is not specifically aimed at relieving cramping during breastfeeding.

A. Flavored gelatin. B. Scrambled eggs. C. Soda crackers. D. Baked chicken. E. Grilled salmon.

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

Explanation

Choice A: Flavored gelatin can be a choice if the client enjoys it, but it should not be the primary source of nutrition as it lacks protein and other essential nutrients needed for healing.
Choice B: Eggs are a good source of protein, which is essential for tissue repair and healing.
Choice C: Soda crackers are low in protein and do not provide adequate nutrition for postoperative healing.
Choice D: Baked chicken is a lean source of protein and can be a part of a balanced postoperative diet.
Choice E: Salmon is rich in omega-3 fatty acids and protein, which can support the healing process and provide essential nutrients.

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The practical nurse (PN) is caring for a 3-month-old male infant two days after a pylorotomy and notices that the infant is restless, grimacing, and drawing his knees to his chest. What action should the PN implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is multiparous on the postpartum unit reports intense cramping while breastfeeding. What instruction should the nurse provide to this client?

Correct Answer is A

Explanation

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

Explanation

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