A nurse is reinforcing teaching about preventing dental caries with the parent of a 12-month- old toddler. Which of the following instructions should the nurse provide?

"Position the bristles of your child's toothbrush against the teeth at a 90-degree angle."

"Use a 5-inch strip of toothpaste on the toothbrush."

"Clean the teeth with a small, soft-bristled toothbrush."

"Floss between your child's teeth before brushing."

Answer and Explanation

The Correct Answer is C

The correct answer is C. A small, soft-bristled toothbrush is recommended for cleaning a toddler's teeth as it can remove plaque without damaging the gums. The bristles should be angled at 45 degrees, not 90 degrees, to reach under the gum line. A pea-sized amount of toothpaste, not a 5-inch strip, is sufficient for a toddler's toothbrush. Flossing is not necessary until two adjacent teeth touch each other, which usually happens around age 2 or 3.

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Correct Answer is C

Explanation

The correct answer is choice C. Changing a central venous catheter dressing for a client who is receiving IV therapy. Choice A rationale: Instilling ophthalmic ointment typically does not require sterile gloves. Clean technique is sufficient as long as proper hand hygiene is performed to prevent infection. Choice B rationale: Inserting an NG tube requires clean technique, not sterile. The procedure is performed through the nasal passage and esophagus, which are not sterile environments. Choice C rationale: Changing a central venous catheter dressing requires sterile gloves to prevent introducing infection into the bloodstream. Central lines are a direct pathway to the central circulation, making aseptic technique critical to prevent serious infections such as bloodstream infections. Choice D rationale: Administering an IM injection requires clean technique. The skin is cleaned with an antiseptic wipe before the injection, but sterile gloves are not necessary for this procedure.

A. Assists the client to the bathroom every 2 hr B. Raises all four side-rails on the client's bed C. Locks the wheels on the client's bed D. Clears furniture from the path leading to the bathroom

Correct Answer is B

Explanation

The correct answer is B. Raising all four side-rails on the client's bed is considered a restraint and can increase the risk of injury if the client tries to climb over them. The nurse should intervene and instruct the AP to lower one or two side-rails and use other fall prevention measures, such as bed alarms, nonskid footwear, and frequent checks.

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A nurse is reinforcing teaching about preventing dental caries with the parent of a 12-month- old toddler. Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical-surgical unit is planning care for four clients. The nurse should plan to use sterile gloves when performing which of the following procedures?

Correct Answer is C

Explanation

A nurse is supervising an assistive personnel (AP) who is caring for a client who is at risk for falls. For which of the following actions by the AP should the nurse intervene?

Correct Answer is B

Explanation

A nurse is teaching a parent of a school-age child who is to begin a daily dose of methylphenidate. Which of the following should the nurse include in the teaching?

A nurse is reinforcing discharge teaching with a client who has undergone a vein stripping of the right leg. Which of the following instructions should the nurse include in the teaching?

A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?

A nurse is reinforcing teaching with a client who has stomatitis. Which of the following instructions should the nurse include in the teaching?

A nurse is completing postmortem documentation for a client. Which of the following information should the nurse include in the documentation?

A nurse enters the room of a school-age child and finds them on the floor experiencing a tonic-clonic seizure. Which of the following action should the nurse take?

A nurse is gathering data from a client who has severe anxiety. Which of the following findings should the nurse identify as an indication that the client is experiencing a crisis?