A nurse is reinforcing teaching to the parents of an infant about the correct use of infant car seats. Which of the following statements by the parents indicates an understanding of the teaching?

"We will switch our baby's car seat to forward-facing when they turn one

"We will check the temperature of the car seat surface before placing our baby in the seat when it is hot out."

"We will make sure to activate the air bag when we place the car seat in the front passenger seat."

"We will wrap our baby in a blanket under the car seat straps when it is cold out."

Answer and Explanation

The Correct Answer is B

A. "We will switch our baby's car seat to forward-facing when they turn one.": Current guidelines recommend keeping infants and toddlers in a rear-facing car seat until they reach the maximum height or weight limit of the seat, often well past one year, to provide optimal protection in a crash.

B. "We will check the temperature of the car seat surface before placing our baby in the seat when it is hot out.": This statement shows good understanding. Car seat surfaces can become dangerously hot and cause burns. Checking the seat temperature ensures the baby’s safety and comfort before securing them inside.

C. "We will make sure to activate the air bag when we place the car seat in the front passenger seat.": Airbags can cause serious injury or death to infants in rear-facing car seats. Car seats should always be placed in the back seat, and airbags should be deactivated if absolutely necessary to place a seat in the front, which is discouraged.

D. "We will wrap our baby in a blanket under the car seat straps when it is cold out.": Placing a blanket under the straps can prevent the harness from fitting snugly and securely. Instead, the harness should be fastened correctly first, and then a blanket can be placed over the baby for warmth.

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Correct Answer is A

Explanation

A. Hold the catheter with the dominant hand during insertion: The dominant hand should be used to insert the catheter because it provides better control and precision during the sterile procedure. The nondominant hand is used to expose and maintain the position of the urethra but is considered contaminated once touching the client.

B. Advance catheter 7.5 cm (3 in) after urine begins to flow: The catheter should be advanced approximately 2.5 to 5 cm (1 to 2 inches) further after urine appears, not 7.5 cm. Advancing too far could cause discomfort or trauma to the bladder.

C. Hang collection bag below the level of the bladder: While this is an important step in managing the catheter after insertion to prevent backflow and infection, it does not specifically pertain to the insertion process itself.

D. Lubricate the catheter 12.5 cm (5 in) prior to insertion: Typically, for female catheterization, about 2.5 to 5 cm (1 to 2 inches) of the catheter is lubricated, not 12.5 cm. Excessive lubrication is unnecessary and may cause difficulty during insertion.

A. Increased senses B. Decreased sleep C. Difficulty swallowing D. Urinary frequency

Correct Answer is D

Explanation

A. Increased senses: PCA pump use, typically involving opioids, does not heighten the senses. Instead, opioids often dull sensory perception and can cause sedation rather than making sensations sharper or more intense.

B. Decreased sleep: Opioids used in PCA pumps often promote drowsiness and sleep rather than reducing it. Sleep disturbances are not a common direct effect of properly managed PCA analgesia unless pain remains uncontrolled.

C. Difficulty swallowing: Difficulty swallowing is not a usual side effect associated with PCA use. If it occurs, it would likely suggest another issue, such as a neurological problem, rather than a typical reaction to PCA-administered opioids.

D. Urinary frequency: Opioids can affect the bladder by either causing urinary retention or, less commonly, altering normal patterns. Clients receiving adequate hydration and pain management might experience urinary frequency, especially as mobility increases postoperatively.

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A nurse is assisting with the care of a client.

Select the 4 responsibilities the nurse has in relation to the client's advance directives.

View Question and Answer

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A nurse is reinforcing teaching to the parents of an infant about the correct use of infant car seats. Which of the following statements by the parents indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a guardian about receiving a PCA pump following a hysterectomy. Which of the following findings should the nurse include as a potential effect of the medication?

Correct Answer is D

Explanation

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