In providing anticipatory guidance, what does the nurse teach ...

[MGLQZ]

In providing anticipatory guidance, what does the nurse teach parents about nutrition in their 4-year-old child?
 
  A.
  Food jags are common in this age group.
  B.
  Give the child a wide variety of foods.
  C.
  Introduce foods slowly and carefully.
  D.
  Provide 108 kcal/kg (50 kcal/lb).

Question 2

A nurse is caring for an infant born with esophageal atresia (EA) and tracheoesophageal fistula (TEF) prior to surgery. Which actions taken by a student nurse cause the registered nurse to intervene? (Select all that apply.)
 
  A.
  Assesses the infant's intravenous site
  B.
  Irrigates the orogastric tube as needed
  C.
  Raises the head of the bed at least 30
  D.
  Suctions the trachea every 2 hours
  E.
  Teaches parents about barium contrast

[verrinzo]

Answer to Question 1

ANS: B
At this age, the child's gastrointestinal system is mature enough to handle a wide variety of foods. Food jags are most common in toddlers. Introducing foods slowly and carefully is more appropriate to an infant. Infants, not preschoolers, need 108 kcal/kg.

Answer to Question 2

ANS: B, D, E
Preoperatively, care for an infant with EA and TEF includes assessing IV sites, frequent suctioning to prevent aspiration (as needed, not on an every-2-hours schedule), raising the head of the bed 30-40 and turning the head to the side to help prevent aspiration, and possibly administering antibiotics, as aspiration pneumonia is likely. If the infant has a nasogastric or orogastric tube inserted into the blind pouch, the nurse does not irrigate it, as this increases the risk of aspiration. Contrast radiology studies can be done with dilute water-soluble contrast, but not barium.

[MGLQZ]

TYSM

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Gracias!