Author Question: What is the most important information to be included in the discharge planning for an infant with ... (Read 78 times)

evelyn o bentley · **on:** Jun 27, 2018

What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?

a. Teach the parents to position the infant on the left side.
b. Reinforce the parent's knowledge of the infant's developmental needs.
c. Teach the parents how to do infant cardi-opulmonary resuscitation (CPR).
d. Have the parents keep an accurate record of intake and output.

Question 2

The nurse admits an infant with vomiting and the diagnosis of hypertrophic pyloric stenosis. Which metabolic alteration should the nurse plan to assess for with this infant?

a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory acidosis
d. Respiratory alkalosis

cegalasso · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Risk of aspiration is a priority nursing diagnosis for the infant with gastroesophageal reflux. The parents must be taught infant CPR. Correct positioning minimizes aspiration. The correct position for the infant is on the right side after feeding and supine for sleeping. Knowledge of developmental needs should be included in discharge planning for all hospitalized infants but is not the most important in this case. Keeping a record of intake and output is not a priority and may not be necessary.

Answer to Question 2

A
Frequent projectile vomiting, characteristic of pyloric stenosis, results in a loss of nonvolatile acids that decreases hydrogen ion concentration. This results in an excess of bicarbonate that increases arterial pH above 7.45 (metabolic alkalosis). Metabolic acidosis, respiratory acidosis, and respiratory alkalosis do not result from vomiting.