Based on the nurse's knowledge of the extrusion reflex, the nurse informs new parents to feed their baby solids when he or she:
a. is about 2 weeks old and is still not sleeping through the night.
b. no longer pushes his tongue against anything that touches it, usually at about 4 to 6 months of age.
c. is nursing or drinking too much breast milk or formula.
d. has regained weight loss after birth.
B
The extrusion reflex makes feeding an infant younger than 4 months old difficult because the infant pushes almost all of a spoonful out of the mouth. Infants do not need solid foods until 4 to 6 months of age. Solids may cause allergies or gastrointestinal upsets. When infants start ingesting solid foods, they drink less milk, thus replacing a food that meets their nutritional needs well with a food that is poorly digested. The weight loss after birth is usually regained by the 10th day after birth. The extrusion reflex continues until the infant is approximately 4 months old.
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a. Pride in his performance b. Feelings of being overrewarded c. Decrease in productivity d. Increase in productivity
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The licensed practical/vocational nurse is caring for a client frequently admitted for constant stabbing pain in her lower back, rated 8 out of 10 on a pain scale. Diagnostic testing reveals no treatable back issues
The physician prescribes a placebo (a substance that has no therapeutic effect to comfort the client). The physician wants the nurse to administer normal saline in a syringe that will look like the narcotic because he does not believe the client's pain is real. The nurse believes this is an ethical dilemma because is it right or wrong to administer a placebo and lie to the client that it is the narcotic the client requested for her pain. The nurse believes that pain is what the client says it is. Which is the best action for the nurse to take? A) Administer the placebo, but don't say what it is, and if the client remains in pain within 15 minutes, and then administer the narcotic analgesic as ordered and report the findings to the physician B) Ignore the physician's order and continue to administer the narcotic analgesic as ordered previously C) Inform the physician that he has an issue with administering the placebo because he feels it is unethical and ask if it would be best served to refer the client to a chronic pain management clinic D) Inform the nursing supervisor of the physician's unethical behavior, and ask what to do in the situation