A nurse is teaching a parent about introduction of solid foods ...

[Engineer]

A nurse is teaching a parent about introduction of solid foods into an infant's diet. Which should the nurse include in the teaching session? (Select all that apply.)
 
  a. Solid food introduction can be started at 2 months of age.
  b. Rice cereal is introduced first.
  c. Begin the introduction of solid foods by mixing with formula in the bottle.
  d. Introduce egg white in small quantities (1 tsp) toward the end of the first year.
  e. Introduce one food at a time, usually at interval of 4 to 7 days.

Question 2

A nurse is preparing to administer immunizations to a 6-month-old infant. Which interventions should the nurse implement to minimize local reaction and reduce pain? (Select all that apply.)
 
  a. Select a needle of adequate length (1 inch).
  b. Inject into the deltoid muscle.
  c. Apply a vapocoolant spray directly to the skin, 15 seconds before administration.
  d. Apply a topical anesthetic LMX4 (4 lidocaine) 10 minutes before administration.

[Athena23]

Answer to Question 1

ANS: B, D, E
Rice cereal, because of its low allergenic potential, is the first solid food introduced to an infant at 4 to 6 months of age. Introduce one food at a time, usually at intervals of 4 to 7 days, to identify food allergies. Introduce egg white in small quantities (1 tsp) toward the end of the first year to detect an allergy. Solid food introduction should be started at 4 to 6 months of age. Never introduce foods by mixing them with the formula in a bottle.

Answer to Question 2

ANS: A, C, D
To minimize local reaction and reduce pain when administering an immunization, select a needle of adequate length (25 mm 1 inch in infants) to deposit the antigen deep in the muscle mass. Apply a vapocoolant spray (e.g., ethyl chloride or Fluori-Methane) directly to the skin or to a cotton ball, which is placed on the skin for 15 seconds immediately before the injection. Inject into the vastus lateralis or ventrogluteal muscle; the deltoid may be used in children 18 months of age and older. Apply the topical anesthetic LMX4 (4 lidocaine) to the injection site 30 minutes before the injection. Ten minutes does not allow the anesthetic to be effective.

[Engineer]

Excellent

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