A nurse is reinforcing teaching about home safety with the guardians of a toddler. Which of the following statements by a guardian indicates an understanding of the teaching?
“I can leave my child alone in the bathtub for up to 15 minutes after they learn to swim."
"Open windows are safe as long as the screens fit snugly."
"The water heater should be set to 120 degrees Fahrenheit or less."
“I will tell my toddler to never touch a firearm."
The Correct Answer is C
A. “I can leave my child alone in the bathtub for up to 15 minutes after they learn to swim." Leaving a toddler alone in the bathtub is not safe, even if they know how to swim. Drowning occurs very quickly, and toddlers should always be supervised when in or near water.
B. "Open windows are safe as long as the screens fit snugly." Even if the screens fit snugly, open windows still pose a risk of falls for toddlers. It is important to keep windows securely closed or use window guards to prevent accidents.
C. "The water heater should be set to 120 degrees Fahrenheit or less." Setting the water heater to 120°F or lower is an appropriate and safe recommendation to prevent burns. Water temperatures higher than 120°F can cause serious burns, especially in young children.
D. “I will tell my toddler to never touch a firearm." Simply telling a toddler to avoid firearms may not be enough. Firearms should be securely stored in a locked, childproof safe, away from the child's reach, regardless of what the child is told.
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Naxlex Comprehensive Predictor Exams
Related Questions
Complete the following sentence by using the lists of options.
The nurse should recommend to
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Rationale for Correct Choices:
- Check the child's oropharynx: The child has had a tonsillectomy and is showing signs of possible bleeding, indicated by the small amount of bleeding in the posterior pharynx and bright red emesis (vomiting of blood). The nurse should check the oropharynx to assess the amount and source of the bleeding, as this could indicate a complication post-surgery.
- Obtaining a set of vital signs: After vomiting bright red emesis, it is crucial to assess the child's vital signs to monitor for signs of bleeding or shock. Changes in vital signs, especially increased heart rate or decreased blood pressure, could indicate significant blood loss.
Rationale for Incorrect Choices:
- Offer the child a red popsicle: Red-colored foods are generally avoided post-tonsillectomy as they can obscure or be mistaken for blood. More importantly, offering anything by mouth is contraindicated during active bleeding due to the risk of aspiration and potentially dislodging clots.
- Place the child in a supine position: The child should be positioned in a way that allows for the drainage of blood and secretions, ideally with the head elevated. Placing the child in a supine position could cause blood to pool in the throat, increasing the risk of aspiration.
- Encouraging the child to cough and deep breathe: Encouraging coughing and deep breathing immediately after tonsillectomy is not recommended, as it could dislodge a clot or exacerbate bleeding.
- Requesting a prescription for codeine: Although the child is experiencing some pain (rated 3/10), the primary concern at this point is bleeding, not pain. Pain management should be adjusted but the focus should be on addressing the bleeding first.
Correct Answer is D
Explanation
A. Maintain the child in a supine position: The child should not be in a supine (lying flat) position during enteral feedings, as this increases the risk of aspiration. The child should be positioned upright or at least 30 to 45 degrees to reduce this risk.
B. Discard gastric residuals prior to each feeding: While it is important to check gastric residuals before each feeding to ensure proper gastric emptying, residuals should not automatically be discarded. Depending on the volume of residuals, the feeding may need to be delayed or adjusted rather than discarded.
C. Warm the feeding in the microwave oven for 15 seconds: Feeding should never be warmed in the microwave because it can cause uneven heating, which could lead to burns. Feedings should be warmed using a safe method, such as a warm water bath, to ensure even temperature.
D. Administer the feeding to the child at 10 mL/min: Administering the feeding at a slow and controlled rate, such as 10 mL/min, is recommended to prevent discomfort and reduce the risk of aspiration. This rate allows the digestive system to process the feeding properly.