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    HESI Compass exit proctored exam

    A 2-month-old infant with hypertrophic pyloric stenosis is receiving parenteral fluids for rehydration and decompression of the stomach while waiting for surgical repair. To maintain normal growth and development of the child during this period, which action should the nurse include in the plan of care?

    Explanation & Rationale

    Choice A reason: Using sterile water for gastric lavage is not relevant to maintaining normal growth and development.Choice B reason: Physical therapy is not pertinent to the current medical situation of a 2-month-old infant awaiting surgery for hypertrophic pyloric stenosis.Choice C reason: Ensuring placement of the nasogastric tube is necessary for decompression but does not directly address growth and development.Choice D reason: Offering a pacifier for nonnutritive sucking helps provide comfort and supports the infant's natural sucking reflex, which is important for growth and development.

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