The nurse in the pediatric clinic receives a telephone call from the mother of an infant. The mother is concerned that her baby has constipation
To arrive at the cause of the constipation and to determine the intervention, the nurse will most likely ask: a. "What type of milk are you feeding, how much at each feeding, and how many feedings?"
b. "How much does your baby sleep during the day and during the night?"
c. "Is there a family history of constipation or bowel disorders in your family?"
d. "Are you giving your child any constipating foods to eat?"
A
Feedback
A Correct. To arrive at the cause of the constipation and to determine the intervention, the nurse will most likely ask "What type of milk are you feeding, how much at each feeding, and how many feedings?" Constipation in infancy is rare and usually caused by excessive milk intake or the transition from formula to cow's milk.
B Incorrect. To arrive at the cause of the constipation and to determine the intervention, the nurse will not most likely ask "How much does your baby sleep during the day and during the night?" This has no relevance for determining the cause of constipation.
C Incorrect. To arrive at the cause of the constipation and to determine the intervention, the nurse will not most likely ask "Is there a family history of constipation or bowel disorders in your family?"
D Incorrect. To arrive at the cause of the constipation and to determine the intervention, the nurse will not most likely ask "Are you giving your child any constipating foods to eat?" Since this is an infant, foods that are constipating should not be included in the diet.
You might also like to view...
A patient is brought into the ED by family members who tell the nurse the patient grabbed his chest and complained of substernal chest pain
The care team recognizes the need to monitor the patient's cardiac function closely while interventions are performed. What form of monitoring should the nurse anticipate? A) Left-sided heart catheterization B) Cardiac telemetry C) Transesophageal echocardiography D) Hardwire continuous ECG monitoring
Which of the following directives by the head nurse at a long-term care facility is most reflective of the activity theory of aging?
A) "We need to facilitate older adults' desire to step back from the responsibilities and roles they had in earlier years.". B) "It's hard to overestimate the importance of regular, physical exercise in maintaining health and healthy aging.". C) "We need to remember that the psychological roles and characters of our residents change profoundly in later years of life.". D) "We have to treat our residents like younger people and keep them engaged in meaningful acts.".
An infant has been diagnosed with staphylococcal pneumonia. Nursing care of the child with pneumonia includes which intervention?
a. Administration of antibiotics b. Frequent complete assessment of the infant c. Round-the-clock administration of antitussive agents d. Strict monitoring of intake and output to avoid congestive heart failure
A patient has taken perphenazine (Prolixin) for a year. The nurse observes lip smacking and grinding teeth. Which tool should the nurse use to complete the assessment?
a. AIMS b. EPSE c. SAD PERSONS d. CAGE questionnaire