The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?

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Question 1 of 5

The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?

Correct Answer: A

Rationale: Formula or breast milk is the main fluid source until 12 months. It meets nutritional needs, unlike dilute milk (B, lacks fat), juice (C, sugar risks), or water (D, no calories). A aligns with AAP guidelines, making it correct.

Question 2 of 5

A client with a diagnosis of bipolar disorder has been referred to a local boarding home for consideration for placement. The social worker telephoned the hospital unit for information about the client's mental status and adjustment. The appropriate response of the nurse should be which of these statements?

Correct Answer: D

Rationale: I need the client's written consent' is appropriate. HIPAA requires consent for PHI release, unlike provider-only , phone refusal , or open sharing . D protects privacy, making it correct.

Question 3 of 5

A client had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include at the change of shift report?

Correct Answer: C

Rationale: Urine output of 1500 cc in 5 hours is essential post-Lasix. Furosemide's diuretic effect needs monitoring for efficacy and fluid status, critical post-MI. Weight , potassium , and next dose are secondary. C drives care, making it key.

Question 4 of 5

A client has been admitted with a fractured femur and has been placed in skeletal traction. Which of the following nursing interventions should receive priority?

Correct Answer: B

Rationale: Frequent neurovascular assessments are priority in skeletal traction. They detect compartment syndrome or nerve damage, critical post-fracture. Alignment , pin sites , and trapeze follow. B ensures safety, making it key.

Question 5 of 5

The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?

Correct Answer: B

Rationale: Client-controlled analgesia is priority in sickle cell crisis. Pain from vaso-occlusion needs immediate relief, per standards. Fluid restriction , cold , or exercise worsen it. B manages pain, making it key.

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