A nurse is reinforcing teaching about injury prevention with a group of parents who have adolescent children. Which of the following statements by a parent indicates an understanding of the teaching?

"My child will drive more safely if they have a few friends in the car."

"My child should answer their phone when driving if I am calling."

"My child will not need to wear a helmet when riding their bike after age 13."

"My child should wear long pants when driving an all-terrain vehicle.".

Answer and Explanation

Correct Answer : B,D

Choice A rationale:
Allowing an adolescent driver to answer their phone while driving can lead to distraction, increasing the risk of accidents. Engaging in conversations on the phone diverts the driver's attention from the road, which is unsafe. It's crucial for drivers, especially new ones, to focus solely on driving to prevent accidents.
Choice B rationale:
This choice is correct. Not answering the phone while driving is a responsible behavior that indicates an understanding of the dangers of distracted driving. Parents should encourage their children to focus on the road and avoid distractions like phone calls, promoting safe driving practices.
Choice C rationale:
This statement is incorrect. Adolescents should continue wearing helmets when riding their bikes even after age 13. Wearing helmets helps prevent head injuries in case of accidents. While older adolescents might perceive themselves as less prone to accidents, they are still at risk, and helmets are essential for their safety.
Choice D rationale:
This choice is correct. Wearing appropriate protective clothing, like long pants, while driving an all-terrain vehicle (ATV) is crucial. Long pants can provide some degree of protection against scrapes, scratches, and minor injuries that can occur while operating an ATV. It's a safety measure that shows an understanding of the importance of protective gear.

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Correct Answer is C

Explanation

Choice A rationale:
A 2 cm scalp laceration, while a concern, is not the nurse's priority in this scenario. The child's head injury could potentially be serious, but priority should be given to neurological assessments and signs of increased intracranial pressure.
Choice B rationale:
Nasal discharge negative for glucose is not indicative of a major issue in this context. While cerebrospinal fluid (CSF) leaking from the nose after head trauma is a concern, it is not mentioned in this scenario, and this choice does not take precedence over other neurological signs.
Choice C rationale:
This is the correct answer. Asymmetric pupils can be a sign of a serious neurological issue, such as a brain injury or increased intracranial pressure. It requires immediate attention and further evaluation to assess the child's neurological status and determine the extent of the injury.
Choice D rationale:
A negative Babinski reflex is a normal finding in this context and does not require immediate priority attention. The Babinski reflex is typically present in infants and disappears as the child grows older. Its absence is expected in older children and adults.

A. Warm the skin prior to probe placement. B. Reposition the probe every 2 hr. C. Tape the wire to the palm of the hand. D. Apply the sensor to the index fingernail.

Correct Answer is B

Explanation

Answer: B. Reposition the probe every 2 hours.

Rationale:

A. Warm the skin prior to probe placement:While cold fingers can lead to inaccurate readings,warming the skin is not an essential step and is not routinely recommended in clinical practice.
B. Reposition the probe every 2 hours:This iscorrect.Continuous pressure from the probe in one spot can cause skin breakdown and pressure injuries.Repositioning the probe every 2 hours helps to prevent this and ensure accurate readings.
C. Tape the wire to the palm of the hand:This is incorrect.The pulse oximeter probe should be placed on a vascular site,such as a fingertip or earlobe.Taping the wire to the palm would not provide accurate readings.
D. Apply the sensor to the index fingernail:This is incorrect.The fingernail does not have sufficient blood flow for accurate pulse oximetry readings.The probe should be placed on the fleshy pad of the fingertip.

Therefore, the most important action for the nurse to take is to reposition the probe every 2 hours to prevent skin breakdown and ensure accurate readings.

Additional Points:

The nurse should also choose a clean and dry site for probe placement.
The probe should be snug but not too tight.
The nurse should monitor the child for signs of skin breakdown,such as redness,swelling,or pain.
If the child is restless or active,the nurse may need to secure the probe with additional tape or a special wrap.

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A nurse is reinforcing teaching about injury prevention with a group of parents who have adolescent children. Which of the following statements by a parent indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 minutes ago. Which of the following findings is the nurse's priority?

Correct Answer is C

Explanation

A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Answer: B. Reposition the probe every 2 hours.

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