The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?
A) Substituting cow's milk if breast milk is not available
B) Advocating iron supplements with bottle-feeding
C) Advising fluid intake per feeding of 5 or 6 ounces
D) Discouraging the addition of fruit juice to the diet
Ans: D
Discouraging the addition of fruit juice to the child's diet is the most effective anticipatory guidance. Fruit juice can displace important nutrients from breast milk or formula. Cow's milk is likely to result in an allergic reaction. If breast milk is not available, infant formula may be substituted. Advising fluid intake per feeding of 5 or 6 ounces is too much for this neonate, but is typical for an infant 4 to 6 months of age. Advocating iron supplements with bottle-feeding is unnecessary so long as the formula is fortified with iron.
You might also like to view...
Clinical manifestations that may be related to scleroderma are clustered into a syndrome called "CREST." What does the "R" in CREST stand for?
A) Raynaud's phenomenon B) Reye's syndrome C) Rhinitis D) Renal failure
The nurse is reviewing the physician's prescriptions on a child following a tonsillectomy. Which of the following physician prescriptions would the nurse question?
1. Suction the child if coughing. 2. Discharge to home when alert and tolerating fluids. 3. Provide clear cool liquids to the child when awake. 4. Instruct the parent to avoid giving the child milk or milk products.
The client with Parkinsonism asks the nurse why vitamin B6 should be avoided. Which response would be most appropriate for the nurse?
1. "The vitamin is excreted in the feces and bile." 2. "The vitamin causes mental confusion and hallucinations in people with Parkinson disease." 3. "The vitamin reverses or antagonizes the therapeutic effects of some anti-Parkinson drugs" 4. "The vitamin increases the amount of dopamine entering the brain and promotes levodopa production."
What precautions should you take when applying DMSO (Synotic ear drops) to an animal's skin?
a. Wear a facial mask to avoid inhaling the fumes. b. Apply a bandage to cover the area of application. c. DMSO is irritating to the skin and should not be used in this manner. d. Wear latex gloves to avoid contact with the drug.