Which of the following is an appropriate nursing intervention to promote thermoregulation in an infant patient?
Provide the infant with appropriate clothing and blankets to maintain warmth.
Offer the infant a cool beverage to drink frequently.
Keep the infant in a well-ventilated room with a fan.
Place the infant in direct sunlight for extended periods of time.
The Correct Answer is A
A. Provide the infant with appropriate clothing and blankets to maintain warmth: Infants have an immature thermoregulatory system, making it harder for them to maintain body temperature. Using appropriate clothing and blankets helps reduce heat loss through radiation, convection, and evaporation, supporting stable core body temperature.
B. Offer the infant a cool beverage to drink frequently: Cool beverages are not appropriate for thermoregulation in infants, especially those not yet on solid food. They primarily rely on breast milk or formula, and fluid intake alone is not effective for managing temperature in infants.
C. Keep the infant in a well-ventilated room with a fan: While ventilation may help regulate temperature in hot environments, the use of fans can increase the risk of hypothermia in infants due to rapid heat loss. Infants should be kept in environments with stable, moderate temperatures.
D. Place the infant in direct sunlight for extended periods of time: Prolonged exposure to direct sunlight can lead to overheating and increases the risk of sunburn or heatstroke in infants. Controlled indoor lighting and indirect sunlight are safer alternatives for light exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Your need for sleep will increase during periods of growth." Adolescents experience rapid physical growth and hormonal changes that increase the need for sleep. They often require 8–10 hours of sleep per night to support healthy development and functioning.
B. "Limit your caloric intake to avoid becoming overweight." This message can promote unhealthy dieting behaviors. Healthy eating habits and physical activity should be emphasized rather than calorie restriction during adolescence.
C. "Share piercing needles only with close friends you trust." Sharing needles, regardless of trust, poses serious risks for bloodborne infections like hepatitis B, hepatitis C, and HIV. Safe, sterile practices should always be used.
D. "Tanning beds are much safer than lying in the sun." Tanning beds also emit harmful UV rays and increase the risk of skin cancer, particularly melanoma. Adolescents should be taught to avoid both tanning beds and unprotected sun exposure.
Correct Answer is A
Explanation
A. "The fever is causing an increase in your baby's heart rate." Fever increases metabolic demand, which commonly leads to tachycardia in infants as the body attempts to regulate temperature and support circulation. This explanation directly addresses the physiological cause and is appropriate.
B. "This is within the expected range for your baby." A heart rate of 190/min in a 2-month-old is elevated, especially in the presence of a fever. While infants have higher baseline heart rates (120-160 b/min), this value is elevated and requires clinical interpretation, not reassurance.
C. "Your baby's heart is beating fast in an attempt to cool down his body.": While increased cardiac output may help distribute heat, the primary cause of tachycardia is metabolic demand from fever—not a direct mechanism to cool the body.
D. "As your baby begins to fall asleep, his heart rate will decrease." Although heart rate may decrease with sleep, this does not address the father's concern about the elevated rate now, and it downplays the need to monitor the infant in the context of high fever
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