A student nurse is completing a community health rotation. One of ...

[mmm]

A student nurse is completing a community health rotation. One of the clients is a pregnant teen. The student nurse has been teaching the client about infant nutrition.
 
  Which statement indicates to the student nurse that the client needs additional teaching? a. Breast milk is all my baby will need for the first 4 to 6 months.
  b. Breast milk should be the major source of nutrition for the first year.
  c. My baby won't need as many calories per kilogram as I will.
  d. Breastfeeding my baby will decrease the chances for food allergies.

Question 2

An 89-year-old patient who lives in a nursing home has been admitted to the hospital for observation after falling, and is exhibiting confusion and malaise in the nursing home.
 
  He had a urinary catheter inserted 2 weeks ago when he complained of difficulty urinating. Lab work was ordered and the nurse notes that his neutrophil count is elevated. She knows that this, combined with the other clinical signs and symptoms, most likely indicates what condition? a. Tuberculosis
  b. Parasitic infection
  c. Acute bacterial infection
  d. Viral infection

[kaykay69]

Answer to Question 1

C
The baby needs more calories than the mother, so this misinformation needs to be clarified. The woman who is lactating needs 500 kcal/day above the usual allowance because the production of milk increases energy requirements. Infants need an energy intake of approximately 108 kcal/kg of body weight in the first half of infancy and 98 kcal/kg in the second half. Infants need about 100 to 120 mL/kg/day of fluid because a large portion of total body weight is water. The American Academy of Pediatrics recommends breast milk or formula as the major source of food for up to 1 year in age. Breast milk or formula provides sufficient nutrition for the first 4 to 6 months of life. The benefits of breastfeeding include reduced food allergies and intolerances, fewer infant infections, and easier digestion. In addition, breast milk is convenient, fresh, always the correct temperature, and economical, because it is less expensive than formula. Infants should not have regular cow's milk during the first year of life. Infants receiving cow's milk have been found to have lower intakes of iron, linoleic acid, and vitamin E; and excessive amounts of sodium, potassium, and protein.

Answer to Question 2

C
Neutrophil counts are elevated in the presence of acute bacterial infection. Lymphocytes are increased in viral infections. Monocytes are elevated in tuberculosis infections. Eosinophils are usually elevated in parasitic infections.

[mmm]

Excellent

[Dominic]

Gracias!