A nurse is reinforcing teaching about home safety needs for a toddler. Which of the following statements by the toddler's parents indicates an understanding of the teaching?

"We will keep the number for poison control stored in our phones.

"We will make sure our hot water heater is set to 54° C (129° F)

"We will make sure to turn pot handles towards the front of the stove."

"We will store medications on a high surface that our child can't reach"

Answer and Explanation

The Correct Answer is A

Rationale:

A. "We will keep the number for poison control stored in our phones.": Having the poison control number readily accessible is a key component of home safety for toddlers, who are at high risk for accidental ingestion. Prompt access supports rapid emergency response and guidance.

B. "We will make sure our hot water heater is set to 54° C (129° F)": This temperature setting is too high and increases the risk of scald burns. Water heaters should be set at or below 49° C (120° F) to reduce the chance of accidental burns during bathing or handwashing.

C. "We will make sure to turn pot handles towards the front of the stove.": Turning pot handles to the front makes them easier for a toddler to grab, increasing burn and injury risk. Handles should always be turned toward the back or center of the stove to keep them out of reach.

D. "We will store medications on a high surface that our child can't reach": High surfaces are not secure enough, as toddlers may climb. Medications should be stored in locked cabinets to ensure they are completely inaccessible to curious children.

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Correct Answer is D

Explanation

Rationale:

A. Start using a highchair for feedings: Infants typically begin using a highchair around 6 months of age when they can sit unsupported. At 3 months, using a highchair is unsafe as the infant lacks sufficient head and trunk control.

B. Place no more than one small pillow in the crib: Pillows and soft bedding increase the risk of suffocation and sudden infant death syndrome (SIDS). The safest practice is to keep the crib free of pillows, blankets, and other soft items.

C. Make sure the crib mattress is soft: A firm crib mattress is recommended to reduce the risk of suffocation and SIDS. A soft mattress can create indentations that pose hazards for infants.

D. Remove bibs when the infant is going to sleep: Bibs can become choking or strangulation hazards during sleep. Removing them before sleep reduces the risk of airway obstruction and promotes infant safety.

A. Put a simple lock on the client's bedroom door. B. Give the client a barbiturate medication at bedtime. C. Encourage the client to take frequent walks during the day. D. Allow the client to nap for at least 1 hr during the day.

Correct Answer is C

Explanation

Rationale:

A. Put a simple lock on the client's bedroom door: Locking the client's door could pose a safety risk, especially in the event of an emergency such as a fire. It also restricts the client's autonomy and may increase confusion or agitation in clients with Alzheimer's disease.

B. Give the client a barbiturate medication at bedtime: Barbiturates are not recommended for older adults due to their sedating effects and risk of dependence, falls, and worsening cognitive function. Non-pharmacologic strategies are preferred first in managing sleep disturbances.

C. Encourage the client to take frequent walks during the day: Physical activity during the day helps reduce nighttime restlessness and improve sleep patterns. Walking can also help regulate circadian rhythms, promote relaxation, and reduce wandering behavior at night.

D. Allow the client to nap for at least 1 hr during the day: Long daytime naps may disrupt the sleep-wake cycle, worsening insomnia and nighttime wandering. Limiting daytime napping and encouraging activity is more effective in promoting restful nighttime sleep.

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A nurse is reinforcing teaching about home safety needs for a toddler. Which of the following statements by the toddler's parents indicates an understanding of the teaching?

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