a nurse is caring for an 8 month old infant who screams when the parent leaves the room the parent begins to cry and says i dont understand why my chi
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Nursing Elites

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1. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says, 'I don't understand why my child is so upset. I've never seen my child act this way around others before.' Which of the following statements should the nurse make?

Correct answer: A

Rationale: The correct answer is 'This is a normal, expected reaction for a child of this age.' Separation anxiety typically peaks around 8-10 months of age, leading to distress when separated from caregivers. Choice B is incorrect because the infant's behavior is more likely due to separation anxiety rather than overstimulation. Choice C is incorrect as the infant's behavior is not related to overexposure to caregivers but rather a natural developmental stage. Choice D is incorrect as the infant's behavior is not indicative of illness but rather a normal emotional response.

2. For patients with anemia, which vitamin is crucial for the absorption of iron?

Correct answer: B

Rationale: The correct answer is Vitamin C. Vitamin C enhances the absorption of non-heme iron, which is crucial for patients with anemia. Vitamin A (Choice A) is not directly involved in iron absorption. Vitamin D (Choice C) helps with calcium absorption, not iron. Vitamin E (Choice D) does not have a significant role in iron absorption.

3. Folate is crucial for DNA synthesis and cell division, making it particularly important during periods of rapid growth, such as pregnancy.

Correct answer: A

Rationale: The correct answer is A. Folate plays a crucial role in DNA synthesis and cell division, which are essential processes for cell multiplication. This makes folate particularly important during periods of rapid growth, such as pregnancy. Therefore, the statement is true. Choice B is incorrect because it fails to acknowledge the significance of folate in cell multiplication and rapid growth, especially during pregnancy.

4. In monitoring the patient in PACU, the nurse correctly identifies that checking the patient's vital signs is done every:

Correct answer: A

Rationale: Correct Answer: A - Vital signs monitoring in the PACU (Post-Anesthesia Care Unit) is typically done every hour to closely monitor the patient's condition during the immediate postoperative period. This frequency allows the nurse to promptly identify any changes in the patient's vital signs and intervene as necessary. Choice B (5 minutes) is too frequent for routine vital signs monitoring in the PACU and may not allow for a comprehensive assessment of the patient's stability. Choice C (15 minutes) and Choice D (30 minutes) are also not in line with the standard practice of vital signs monitoring in the PACU, which is typically hourly.

5. What is tocopherol?

Correct answer: D

Rationale: Tocopherol is another name for Vitamin E, a fat-soluble antioxidant that helps protect cell membranes from oxidative damage. Choices A, B, and C are incorrect as tocopherol is specifically related to Vitamin E and not Vitamin B1, B2, or B3.

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