A nurse is reinforcing teaching with a parent of a newborn about home safety precautions. Which of the following statements by the parent Indicates an understanding of the teaching?
"I will attach the pacifier to my newborn's clothing with a string at bedtime."
"I will place my newborn face up on a pillow when sleeping."
"I will place my newborn's crib near a heat vent during cold weather."
"I will make sure that I can fit one finger between the mattress and the side of my newborn's crib."
The Correct Answer is D
Choice A Reason:
Attaching a pacifier to the newborn's clothing with a string can be dangerous, as it poses a risk of strangulation. Pacifiers should be used, but they should be the type with a handle designed for infant use.
Choice B Reason:
Placing the newborn face up on a pillow when sleeping is not recommended. The baby should be placed on their back on a firm and flat sleep surface, such as a crib mattress, without pillows, blankets, or other soft bedding items. This helps reduce the risk of sudden infant death syndrome (SIDS).
Choice C Reason:
Placing the newborn's crib near a heat vent during cold weather can lead to overheating, which is a risk factor for SIDS. It's important to maintain a comfortable room temperature for the baby and use appropriate sleep clothing to keep them warm without the need for additional heating devices near the crib.
Choice D Reason:
"I will make sure that I can fit one finger between the mattress and the side of my newborn's crib." This statement indicates an understanding of safe sleep practices for newborns. Ensuring that there is a small gap (about one finger's width) between the mattress and the side of the crib helps prevent the risk of suffocation or entrapment. It allows for proper airflow and reduces the risk of the baby getting stuck between the mattress and the crib.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Applying antibiotic ointment is typically not recommended after a Plastibell circumcision, as it may interfere with the natural healing process.
Choice B Reason:
Ensuring that the baby's diaper is applied snugly can potentially cause friction and discomfort around the circumcision site. It's generally recommended to use loose-fitting diapers to avoid irritation.
Choice C Reason:
Wiping away yellow crusts (scabs) that form around the incision is not advised, as this can disrupt the healing process. It's best to let these crusts fall off naturally as the area heals.
Choice D Reason:
"I will apply pressure with gauze if I see bleeding." This statement by the parent indicates an understanding of circumcision care following a Plastibell circumcision. Applying gentle pressure with gauze if bleeding occurs is an appropriate response to manage bleeding and promote clotting at the circumcision site.
Correct Answer is B
Explanation
Choice A Reason:
Decreased BUN (blood urea nitrogen) level is incorrect. While furosemide can lead to decreased BUN levels, it is not the primary indicator of its effectiveness. BUN levels can be influenced by various factors, including hydration status and kidney function.
Choice B Reason:
Increased urinary output is correct. Furosemide is a diuretic medication often prescribed to clients with heart failure to help manage fluid retention. One of the primary therapeutic effects of furosemide is increased urinary output, which indicates that the medication is effectively removing excess fluid from the body.
Choice C Reason:
Decreased hemoglobin level is incorrect. Furosemide is not directly associated with changes in hemoglobin levels. Hemoglobin levels reflect the oxygen-carrying capacity of the blood and are typically not affected by diuretic therapy.
Choice D Reason:
Increased weight of 0.91 kg (2 lb.) is incorrect. An increase in weight is not indicative of the medication's effectiveness. In fact, weight gain could be a sign of fluid retention and heart failure exacerbation, which would suggest that the medication may not be working optimally.
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