A nurse is providing teaching to the parent of an infant about car seat safety. Which of the following statements by the parent indicate an understanding of the teaching?

"I should place the shoulder harness above the level of my baby's shoulders."

"I should place the car seat rear-facing until my baby is 2 years old."

"I will place the retainer clip over my baby's abdomen."

"I should position my baby at a 30-degree angle in the car seat."

Answer and Explanation

The Correct Answer is B

A. "I should place the shoulder harness above the level of my baby's shoulders."

This statement is incorrect. Placing the shoulder harness above the baby's shoulders could lead to improper restraint in the event of a crash. The harness should be positioned at or slightly below the level of the baby's shoulders to provide effective protection.

B. "I should place the car seat rear-facing until my baby is 2 years old."

This statement is correct. The American Academy of Pediatrics recommends that infants and toddlers ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height and weight limit specified by the car seat manufacturer. This position provides optimal protection for the baby's head, neck, and spine in the event of a crash.

C. "I will place the retainer clip over my baby's abdomen."

This statement is incorrect. The retainer clip, also known as the chest clip, should be positioned at armpit level to secure the harness straps. Placing it over the baby's abdomen could result in serious injuries in the event of a crash.

D. "I should position my baby at a 30-degree angle in the car seat."

This statement is incorrect. Infants should be positioned at a 45-degree angle in their car seats. This angle helps to keep the baby's airway open and prevents the head from flopping forward, which could restrict breathing. Placing the baby at a 30-degree angle may not provide adequate support and protection.

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Correct Answer is C

Explanation

A. "Monitor your child for excessive sleepiness."

Methylphenidate is a central nervous system stimulant used to treat attention deficit hyperactivity disorder (ADHD). It typically causes insomnia or decreased need for sleep rather than excessive sleepiness. This option is incorrect, as it does not align with the expected side effects of the medication.

B. "Administer the medication with a caffeinated beverage."

Caffeine is also a stimulant, and combining it with methylphenidate could increase the risk of side effects such as increased heart rate, anxiety, or jitteriness. This instruction is incorrect and unsafe.

C. "Administer the second dose of the medication at lunch time."

Methylphenidate is usually given in divided doses, with the second dose often administered at lunchtime. This timing helps maintain therapeutic levels during the school day while minimizing the risk of insomnia. This option is correct and appropriate for managing the medication.

D. "Monitor your child for weight gain."

A common side effect of methylphenidate is appetite suppression, which can lead to weight loss, not weight gain. This option is incorrect, as the nurse should instruct the parent to monitor for weight loss instead.

A. Pull the pinna down and back. B. Insert the dropper into the ear canal. C. Administer the ear drops at 5.5° C (42° F). D. Massage the area behind the ear.

Correct Answer is A

Explanation

A. Pull the pinna down and back: This technique is appropriate for administering otic drops to an infant or young child. By gently pulling the pinna (outer ear) down and back, it straightens the ear canal, allowing the drops to enter more effectively.

B. Insert the dropper into the ear canal: This option is incorrect. It is essential not to insert the dropper directly into the ear canal, especially in young children, to prevent injury to the ear drum or ear canal.

C. Administer the ear drops at 5.5°C (42°F): The temperature at which the ear drops are administered is not typically specified in practice. Room temperature drops are generally recommended for patient comfort, but they do not need to be at a specific temperature.

D. Massage the area behind the ear: Massaging the area behind the ear after administering otic drops can help distribute the medication within the ear canal. However, it is essential to follow specific instructions provided by the healthcare provider regarding post-administration care.

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A nurse is providing teaching to the parent of an infant about car seat safety. Which of the following statements by the parent indicate an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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