A 10-month-old infant is admitted to the hospital with a medical diagnosis of dehydration. A nursing assessment reveals decreased vocalization, general lack of interest in the surroundings, and non-engaging behaviors
Which of these nursing actions takes priority? 1. Allowing the infant to rest quietly and undisturbed in the crib
2. Monitoring the mother's affect
3. Monitoring the infant's response to vocalization when the nurse enters the room
4. Holding and cuddling the infant frequently throughout the day
2
Rationale:
1. The infant should not be left in the crib undisturbed.
2. The scenario reveals inappropriate infant behaviors. This is a priority question, so all answers might be correct, and you need to select the answer that shows which action should be completed first. The nurse needs to monitor the mother–infant interaction.
3. Monitoring the mother's affect is the priority.
4. The infant should be held and cuddled throughout the day; however, the best answer related to problem identification is observing the mother's affective behavior.
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