An infant being treated for colic was prescribed Mylicon (simethicone) drops and has returned to the clinic for follow-up evaluation. Which of the following nursing action has the highest priority?
A) Assessment of the infant's startle reflex.
B) Gentle palpation of the anterior fontanel.
C) Inspection and auscultation of the abdomen.
D) Measurement of the infant's head circumference.

Question

Quizplus · Accepted Answer

Since the infant was prescribed Mylicon drops for colic, the highest priority nursing action would be to inspect and auscultate the abdomen to assess for any improvements in the infant's digestive issues. This will help the nurse evaluate the effectiveness of the medication and determine if any changes need to be made to the treatment plan. The other options, such as assessing the startle reflex or measuring the head circumference, may be important components of a general infant assessment but are not directly related to the treatment for colic. Palpation of the anterior fontanel can also be important to assess for signs of dehydration, but should not take priority over assessing for the effectiveness of the prescribed medication.

An Infant Being Treated for Colic Was Prescribed Mylicon (Simethicone)