Correct Answer: A

Rationale: I will keep my baby in an upright position after feeding.' Keeping the infant upright after feedings helps reduce reflux by utilizing gravity to keep the stomach contents from coming back up into the esophagus. 'I will have to feed my baby formula, rather than breast milk.' Breast milk is actually preferred for infants with reflux as it is digested more quickly than formula, which may reduce reflux episodes. 'My baby's formula can be thickened with oatmeal.' While thickening feeds can help in some cases, it's generally done with rice cereal under the guidance of a healthcare provider. Oatmeal is not typically recommended for thickening formula for young infants. 'I should move my baby into a side-lying position during sleep.' Side-lying position is not recommended for sleep due to the risk of sudden infant death syndrome (SIDS). The baby should be placed on their back to sleep.

Correct Answer: A

Rationale: First, convert the child's weight from pounds to kilograms: 22 lb ÷ 2.2 = 10 kg. Calculate the dose: 10 kg × 10 mg/kg = 100 mg. Next, calculate how many mL of acetaminophen liquid (160 mg/5 mL) is needed for 100 mg: 100mg ÷ 160mg/5ml = 100 × 5/160 = 3.125ml. Rounded to the nearest tenth, administer 3.1 mL (since the medication is typically measured in tenths).

Correct Answer: A

Rationale: Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.

Correct Answer: B

Rationale: I expect the color of my urine to be amber.' Ferrous sulfate does not typically affect the color of urine. This statement indicates a misunderstanding of the medication's effects. 'I will expect dark, tarry stools.' Ferrous sulfate can cause stools to become dark or black, which is a common and expected side effect due to the iron content. This indicates the client understands a normal side effect of the medication. 'I will not get as many infections.' Ferrous sulfate is used to treat iron deficiency anemia and does not directly influence the incidence of infections. This indicates a lack of understanding of the medication's purpose. 'I will take extra care to protect against increased bruising.' Increased bruising is not associated with ferrous sulfate. This indicates a misunderstanding of the medication's side effects.

Correct Answer: A

Rationale: I should not take my regular insulin when I am sick.' Regular insulin should not be withheld during illness, as blood glucose levels can increase during times of stress or infection. This statement indicates the child needs further education on managing diabetes during illness. 'I will rotate injections sites within my abdominal area.' Rotating injection sites within a specific area helps to prevent lipodystrophy and ensures consistent absorption of insulin. This statement shows appropriate understanding. 'I will test my blood sugar before meals and at bedtime.' Frequent monitoring of blood glucose is essential in managing type 1 diabetes. This statement indicates correct knowledge of monitoring practices. 'I should eat a snack before I play soccer.' Eating a snack before physical activity helps to prevent hypoglycemia. This statement indicates a proper understanding of diabetes management related to exercise.