Following hospital discharge for treatment of gastroesophageal reflux, the home health nurse visits the family. Which finding made by the nurse during the visit requires the nurse to intervene?
1. The infant's formula has rice cereal added.
2. The mother hold the infant is a high Fowler's position while feeding.
3. After feeding, the infant is placed in an infant seat.
4. The mother draws up the ranitidine (Zantac) in a syringe for oral administration.
3
Rationale 1: Rice cereal thickens the formula and helps prevent regurgitation. This is appropriate.
Rationale 2: This position will help prevent regurgitation and is appropriate.
Rationale 3: Infant seats are not recommended as they put pressure on the abdomen and may contribute to regurgitation.
Rationale 4: Since dosing is small, it is appropriate to use a syringe for accurate measurement.
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