A nurse is teaching a parent of a-month-old infant about home safety.

Which of the following instructions should the nurse include in the teaching?( select all that apply)

place gate at the top and bottom of the stairs.

Ensure the crib mattress is in the lowest position.

Remove labels from containers that contain toxic substance.

Keep toilet lids in the upright position.

select a toy chest that has a heavy, hinged lid.

Answer and Explanation

Correct Answer : A,B,D

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Correct Answer is B

Explanation

Choice A rationale

Emptying the drainage bag when half full is a correct action by the AP4. It is important to empty the drainage bag regularly to prevent infection and maintain accurate intake and output records.

Choice B rationale

Placing the drainage bag on the side rail of the patient’s bed is an incorrect action by the AP4. The drainage bag should be placed below the level of the bladder to prevent backflow of urine, which can lead to infection.

Choice C rationale

Kinking the catheter tubing to obtain a urine specimen is an incorrect action by the AP4. This can cause discomfort to the patient and potentially damage the catheter.

Choice D rationale

Securing the catheter tubing to the patient’s thigh is a correct action by the AP4. This helps to prevent pulling on the catheter, which can cause discomfort and potential damage to the urethra.

A. Purplish-colored stoma. B. Rosebud-like stoma orifice. C. Stoma oozing red drainage. D. Shiny, moist stoma.

Correct Answer is A

Explanation

Choice A rationale

A purplish-colored stoma may indicate compromised circulation, which is a serious condition that requires immediate medical attention18.

Choice B rationale

A rosebud-like stoma orifice is a normal finding and does not need to be reported18.

Choice C rationale

A stoma oozing red drainage is a normal finding immediately after surgery and does not need to be reported18.

Choice D rationale

A shiny, moist stoma is a normal finding and does not need to be reported18.

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A nurse is teaching a parent of a-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching?( select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is evaluating a nursing assistive personnel’s (AP) care for a patient with an indwelling catheter. Which action by the AP will cause the nurse to intervene?

Correct Answer is B

Explanation

A nurse in a post-anesthesia care unit (PACU) is assessing a patient who has a newly created colostomy. What findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is preparing to infuse a 250-mL unit of packed red blood cells (RBCs) over 2 hours. The drop factor of the manual intravenous (IV) tubing is 15 drops/mL. How many drops per minute should the nurse adjust the flow rate to deliver?

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A nurse is preparing to administer three liquid medications to a client who has an NG feeding tube with continuous enteral feedings. Which of the following actions should the nurse take?

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A nurse is teaching a parent of a-month-old infant about home safety.

Which of the following instructions should the nurse include in the teaching?( select all that apply)