The nurse is teaching about a healthy diet to the mother of a 2-week-old girl. Which of the following is the most effective anticipatory guidance?
A) Encouraging breast-feeding until the sixth month
B) Advocating iron supplements with bottle feeding
C) Advising fluid intake per feeding of 5 or 6 oz.
D) Discouraging the addition of fruit juice to the diet
D
Response:
Discouraging the mother from adding fruit juice to the child's diet is the most effective anticipatory guidance. Fruit juice can displace important nutrients from breast milk or formula. Encouraging breast-feeding until the sixth month is only halfway to the Healthy People goal of breast-feeding for the first year. Advising fluid intake per feeding of 5 or 6 oz 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.
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A patient tells the nurse, "I make decisions each day that have a positive effect on my life." This statement is most closely related to the spiritual construct of
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Numbers __________________ listed below indicate methods used by a nurse to collect data when assessing the posterior chest of a client during a head-to-toe assessment
(Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].) 1. Observing posterior and lateral chest for symmetry of shoulders 2. Percussing the costovertebral angle bilaterally 3. Observing respiratory movement for symmetry, depth, and rhythm of respiration 4. Percussing posterior and lateral chest for resonance 5. Palpating vertebrae for alignment and tenderness 6. Observing posterior chest for muscular development and scapular alignment