A nurse is teaching about safety recommendations for car seats with the parents of a 24-month- old toddler who is in the 50th percentile for height and weight. Which of the following instructions should the nurse include in the teaching?
Position a booster seat forward-facing in the middle of the back seat.
Position the toddler rear-facing in the middle of the back seat.
Position a convertible seat forward-facing in the front passenger side and inactivate the airbag.
Position a convertible seat rear-facing in the front passenger side.
The Correct Answer is B
A. Booster seats are used for older children who have outgrown their forward-facing car seats. A 24- month-old toddler is typically too young and small for a booster seat.
B. Rear-facing car seats provide the best protection for young children, including toddlers, in the event of a crash.
B. The American Academy of Pediatrics (AAP) recommends keeping children in a rear-facing car seat until they reach the maximum height or weight limit. Rear-facing seats distribute crash forces more evenly across the back of the car seat and the child's body, reducing the risk of injury to the head, neck, and spine.
C. Placing a car seat forward-facing in the front passenger side and inactivating the airbag is not recommended for any child under the age of 13 due to the risk of injury from the airbag in the event of a crash.
D. Placing a car seat rear-facing in the front passenger side is not recommended, especially for a toddler.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A needleless syringe and a doll allow the child to role-play the experience of receiving an injection, which can help in understanding and coping with the procedure. It's a form of play therapy that can be particularly beneficial for children with medical conditions, as it helps them to process their experiences in a safe and controlled environment.
B. Reading a story about another child with diabetes can provide comfort and a sense of relatability. It can also serve as an educational tool, helping the child to understand their condition and the importance of treatments like insulin injections.
C. While not directly related to diabetes or injections, playing a video game can be a good distraction technique. It can help the child to relax and take their mind off the distress associated with injections. However, it may not have the same therapeutic benefits in terms of processing the experience as the other options listed.
D. Free play in a playroom offers a variety of benefits, including the opportunity for the child to express themselves creatively, engage with others, and momentarily escape from the stress of medical treatments. It's a form of expressive therapy that can improve mood and reduce anxiety.
Correct Answer is C
Explanation
A. While assessing for pain is important, it is not the priority in this situation. The presence of pink- colored urine and a palpable mass in the abdominal area are more concerning findings that warrant immediate investigation.
B. Obtaining a urine specimen for analysis is important for diagnosing the cause of the hematuria (blood in the urine), which is a common symptom of Wilms tumor. However, this is not the immediate priority compared to preventing potential harm to the child by avoiding pressure on the abdominal area.
C. Instructing the parent to avoid pressing on the abdominal area is the priority action. Wilms tumor can rupture with pressure, which can lead to the spread of cancer cells. It is crucial to minimize handling of the tumor to prevent tumor spillage into the abdominal cavity.
D. The decision to schedule additional diagnostic tests, such as an abdominal ultrasound, can be made based on the results of the urinalysis and further clinical assessment.
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