The nurse is caring for a female infant with torticollis and is ...

[CBme]

The nurse is caring for a female infant with torticollis and is providing instructions to the parents about how to help their daughter. Which statement by the parents indicates a need for further teaching?
 
  A) We must encourage our daughter to turn her head both ways.
  B) Flatness on one side of the head is a common side effect.
  C) We must apply firm pressure and stretching every other day.
  D) We will do a daily stretching regimen with multiple sessions.

Question 2

The nurse is explaining to the student nurse the therapeutic effects of total parenteral nutrition (TPN). What accurately describes the use of TPN?
 
  A) It is used short term to supply additional calories and nutrients as needed.
  B) It is delivered via the peripheral vein to allow rapid dilution of hypertonic solution.
  C) It is a highly concentrated solution of carbohydrates, electrolytes, vitamins, and minerals.
  D) It is usually used when the child's nutritional status is within acceptable parameters.

[iceage]

Answer to Question 1

Ans: C
The nurse needs to remind the parents that the stretching exercises should be done several times a day. The stretching is applied with gentle, not firm, pressure and should be done every day for multiple sessions. The statements about turning the head both ways, flatness on one side as common, and daily stretching with multiple sessions are correct.

Answer to Question 2

Ans: C
TPN is a highly concentrated solution of carbohydrates, electrolytes, vitamins, and minerals. TPN provides all nutrients to meet a child's needs. It is delivered via central venous access to allow rapid dilution of hypertonic solution. It is usually used in a child with a nonfunctioning gastrointestinal (GI) tract, such as a congenital or acquired GI disorder; a child with severe failure to thrive or multisystem trauma or organ involvement; and preterm newborns.

[CBme]

Excellent

[essyface1]

TYSM