Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?

Position the infant in the crib on his or her abdomen, with the head elevated.

Administer medication as ordered to stimulate the pyloric sphincter.

Give thin rice cereal with formula before feeding solid foods.

Place the infant in an infant seat after feedings.

Answer and Explanation

The Correct Answer is C

A. Placing an infant on the abdomen increases the risk of sudden infant death syndrome (SIDS), even with head elevation, and is not recommended.

B. Medications are usually given to reduce acid or improve gastric motility, not to stimulate the pyloric sphincter.

C. Thickening formula with a small amount of rice cereal is a common intervention to help reduce reflux episodes by making the feedings heavier and less likely to be regurgitated.

D. Infant seats can increase intra-abdominal pressure, which may worsen reflux symptoms.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A liver biopsy provides direct histological examination of liver tissue, making it the definitive method for diagnosing cirrhosis by revealing the extent of fibrosis and architectural distortion.

B. Elevated AST can suggest liver injury but is not specific or conclusive for cirrhosis.

C. Elevated ALT is also a nonspecific marker of liver damage and cannot alone confirm cirrhosis.

D. Elevated LDH may occur in liver disease but is a general marker of tissue breakdown and lacks diagnostic specificity for cirrhosis.

A. "Sure you can. Purchase a prom dress one size larger to hide the ostomy appliance." B. "The pouch won't be as noticeable if you avoid broccoli and carbonated drinks prior to the prom." C. "Let's talk to the ostomy nurse about options for ostomy supplies and dress styles." D. "You can remove the pouch from your ostomy appliance when you are at the prom so that it is less noticeable."

Correct Answer is C

Explanation

A. Suggesting a larger dress size may feel dismissive and doesn't address the emotional and practical concerns the client has.
B. While dietary changes can reduce gas, this response overlooks the client’s emotional needs and long-term self-image concerns.
C. Collaborating with the ostomy nurse provides the client with expert support, tailored solutions for managing the ostomy, and guidance on body image and confidence—empowering the client to feel more comfortable attending prom.
D. Removing the pouch is unsafe and inappropriate, especially for a client with an ileostomy, which continuously produces output.

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Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?

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Naxlex Comprehensive Predictor Exams

The nurse is aware that a definitive diagnosis of cirrhosis is made based on the results of which diagnostic or laboratory test?

Correct Answer is A

Explanation

A nurse cares for a young client with a new ileostomy. The client states, "I cannot go to prom with an ostomy." How would the nurse respond?

Correct Answer is C

Explanation

The nurse is caring for a client who has late-stage (advanced) cirrhosis. What assessment findings would the nurse expect? (Select all that apply.)

A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohn's disease. Which of the following information should the nurse include?

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The physician orders 500 mL of NS to infuse at 175 mL/h for a patient with vomiting. Tubing drop factor is 15 gtt/mL. Calculate the flow rate in drops per minute.

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