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A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make?

A.

Give your infant an oral rehydration solution.

B.

Bring your baby in to the clinic today.

C.

Try switching to a different formula.

D.

Burp your baby more frequently during feedings.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Giving an oral rehydration solution is not appropriate without first assessing the infant. Projectile vomiting in a 2-month-old could indicate a serious condition such as pyloric stenosis, which requires medical evaluation.

 

Choice B rationale

 

Bringing the baby to the clinic today is the appropriate response. Projectile vomiting in an infant can be a sign of a serious condition that requires prompt medical evaluation and treatment.

 

Choice C rationale

 

Switching to a different formula is not appropriate without first assessing the infant. Projectile vomiting could indicate a serious condition that needs to be evaluated by a healthcare provider.

 

Choice D rationale

 

Burping the baby more frequently during feedings may help with minor feeding issues, but it is not appropriate advice for projectile vomiting. The infant needs to be evaluated by a healthcare provider to determine the cause of the vomiting.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

The FLACC scale (Face, Legs, Activity, Cry, Consolability) is suitable for assessing pain in infants and young children who cannot verbally communicate their pain. It evaluates five criteria to determine the level of pain.

Choice B rationale

The FACES scale is more appropriate for children aged 3 years and older who can point to the face that best represents their pain level.

Choice C rationale

The OUCHER scale is also designed for older children who can understand and use the photographic or numerical scale to indicate their pain.

Choice D rationale

The PANAD scale is used for assessing pain in patients with advanced dementia and is not suitable for infants.

Correct Answer is D

Explanation

Choice A rationale

The influenza vaccine is recommended annually for all individuals, including adolescents, to protect against the flu. However, it is not specifically required for pre-college physical assessments.

Choice B rationale

The pneumococcal polysaccharide vaccine is typically administered to older adults and individuals with certain medical conditions. It is not a standard requirement for adolescents.

Choice C rationale

The Bacille Calmette-Guérin (BCG) vaccine is used in countries with a high prevalence of tuberculosis. It is not commonly administered in the United States or required for pre-college physical assessments.

Choice D rationale

The meningococcal polysaccharide vaccine is recommended for adolescents, especially those entering college, to protect against meningococcal disease, which can spread in close living quarters.

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