Question

59. A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? (Select all that apply)

a. Place the infant in supine position

b. Check for residual volumes by aspirating stomach contents

c. Heat the formula to 39⁰C (102^oF) prior to administration

d. Instill the formula over a period of 30 to 45 min

e. Offer the infant a pacifier during feedings

60. A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?

a. Creatinine 1.4mg/dL

b. Creatinine 0.3mg/dL

c. BUN 12mg/dL

d. BUN 6mg/dL

70. A nurse is assessing an infant who has intussusceptions. Which of the following findings should the nurse expect?

a. Board-like abdomen

b. Sausage-shaped abdominal mass

c. Increased urinary output

d. Constipation

71. The nurse is teaching  a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?

a. "Consume 1,500 to 1,700 calories per day."

b. "Limit Your sodium intake to 3,000 milligrams per day".

c. "Decrease your vitamin D intake once you start to menstruate."

d. "Increase the amount of your dietary iron intake".

72. A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching?

a. Wash the child's hair with shampoo containing ketoconazole.

b. Treat everyone who came into close contact with the child.

c. Soak combs and brushes into boiling water for10 min.

d. Apply petroleum jelly to the affected areas.

Answer 1

59, b, check for residual volumes by aspirating stomach contents.
e, offer the infant a pacifier during feedings.
eternal feeding provides nutrients for the infant. the nurse should make sure the tube is located in the stomach. aspirating stomach make sure the tube is in the stomach. the baby may need a pacifier in between that make the baby relax and make the baby sleep.
making the infant in a supine position increases the risk of aspiration. The infant head of the bed should be elevated before feeding.
feeding formula should be warm. this formula should be removed from the fridge 15 to 20 minutes before feeding, it should be brought to room temperature,102F is too high a temperature.
intermittent feeding using flow rate should be dropped per minute. 20drops is a standard feeding for 1ml.calculate the drip rate for feeding.
60,a, creatinine 1.4mg/dl
creatinine concentration will be high with a serum half-life of gentamycin, this lab report provides guidance for the adjustment of the interval between doses.
BUN and creatinine clearance should be done periodically.
70, b, sausage-shaped abdominal mass
the first sign of intussusception is a loud crying caused by abdominal pain.
Sausage shaped mass in the right abdomen indicate abdomen mass, abdomen distention, tenderness, and sometime hypovolemic shock is a
possible assessment result from the infant with intussusception.
the child may have diarrarea, vomiting, fever, a lump in the abdomen, etc.
71,d, Increase the amount of your dietary iron intake.
dietary intake for female intake help to build muscle strength and growth.
advise them to have 3,565mg of sodium per day.
Advice the female adolescents to decrease the intake of salt and sugar,
eat balanced meals and 3 meals a day with healthy snacks.
female adolescents need 2,200calories per day.
it is important to take vitamin d per day 4000IU and a minimum of 600IU.