A nurse is reinforcing teaching about home safety precautions with the parents of a 3-month- old infant.

Which of the following instructions should the nurse include in the teaching?

Place no more than one small pillow in the crib.

Remove bibs when the infant is going to sleep.

Make sure the crib mattress is soft.

Start using a highchair for feedings.

Answer and Explanation

The Correct Answer is B

Correct answer: B

A. Place no more than one small pillow in the crib

The American Academy of Pediatrics (AAP) recommends that infants should sleep on a firm and flat surface without any pillows, blankets, or soft bedding. These items can pose a suffocation risk. So, the nurse should advise against using any pillows in the crib.

B. This is a good recommendation. Bibs can be a choking hazard during sleep. Removing them ensures the baby’s safety and reduces the risk of accidental suffocation

C. Making sure the crib mattress is soft in (option C) is not recommended. The crib mattress should be firm to provide a safe sleeping surface for the infant. Soft mattresses can increase the risk of suffocation.

D. Starting to use a highchair for feedings at 3 months old in (option D) is not typically necessary or developmentally appropriate. At this age, infants are typically fed while being held in a caregiver's arms or in a reclined position, such as in a baby bouncer or supported seat.

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Correct Answer is C

Explanation

For a client with a prepregnancy BMI of 30.5, the acceptable weight gain during pregnancy would be around 11 to 20 pounds (5 to 9 kilograms) according to the guidelines set by the Institute of Medicine (IOM).

A. Apply a warm compress. B. Document the infiltration. C. Stop the infusion. D. Elevate the arm.

Correct Answer is C

Explanation

The presence of edema and coolness around the catheter's insertion site suggests that infiltration may have occurred. Infiltration refers to the unintended leakage of fluid into the surrounding tissues instead of flowing into the vein. It can lead to tissue damage and compromised circulation. Stopping the infusion is the initial priority to prevent further infiltration and minimize potential harm to the client.

Applying a warm compress may be appropriate to promote comfort and circulation in some cases, but it should be done after stopping the infusion and assessing the severity of the infiltration.

Documenting the infiltration is necessary for accurate record-keeping and to communicate the occurrence to the healthcare team. However, it is not the first immediate action required in this situation.

Elevating the arm can help reduce swelling and promote venous return. It can be done after stopping the infusion, but it is not the first action to address the potential infiltration.

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A nurse is reinforcing teaching about home safety precautions with the parents of a 3-month- old infant. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with a client whose prepregnancy BMI was 30.5. The nurse should include that which of the following is an acceptable weight gain for this client?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the skin around the catheter's insertion site is edematous and cool. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching about home safety precautions with the parents of a 3-month- old infant.

Which of the following instructions should the nurse include in the teaching?