A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip about a Pavlik harness. Which of the following Instructions should the nurse include?

Adjust the straps on the harness once per week.

Use only ultra-thin diapers applied over the straps.

Maintain the child in a prone position while the harness is in place.

Gently massage the skin under the straps once per day.

Answer and Explanation

The Correct Answer is D

A. Adjusting the straps on the harness once per week is not recommended. The straps should only be adjusted by a healthcare provider to ensure proper fit and alignment, as incorrect adjustments can compromise the effectiveness of the treatment.

B. Using ultra-thin diapers applied over the straps is incorrect. Diapers should be placed under the harness to prevent soiling and maintain the harness's effectiveness. Placing diapers over the straps can interfere with proper positioning.

C. Maintaining the child in a prone position while the harness is in place is not necessary. The Pavlik harness is designed to keep the hips in a flexed and abducted position, and the infant can remain in various positions that are comfortable and safe.

D. Gently massaging the skin under the straps once per day is correct. This helps prevent skin irritation and promotes circulation. Guardians should also check for redness or irritation and ensure the harness fits properly to avoid pressure injuries.

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Correct Answer is C

Explanation

A. Hydrogen peroxide is not recommended for cleaning surfaces contaminated with blood as it is not as effective as other agents and may not adequately disinfect surfaces.

B. Isopropyl alcohol can be effective for disinfecting surfaces contaminated with blood, but it is less effective against certain bloodborne pathogens like hepatitis B virus compared to chlorine bleach.

C. Chlorine bleach is an effective agent for cleaning surfaces contaminated with blood and is recommended by CDC guidelines for disinfecting against bloodborne pathogens.

D. Chlorhexidine is primarily used as a skin antiseptic and is not typically used for cleaning surfaces contaminated with blood.

A. Insert the catheter until a flow of urine begins. B. Attach prefilled syringe to indwelling catheter inflation hub. C. Lubricate the catheter and place fenestrated drape over perineum. D. Apply sterile gloves and place cleansing balls in antiseptic solution. E. Cleanse the meatus with the dominant hand in a downward motion.

Correct Answer is D,C,E,A,B

Explanation

D. Apply sterile gloves and place cleansing balls in antiseptic solution.

C. Lubricate the catheter and place fenestrated drape over perineum.

E. Cleanse the meatus with the dominant hand in a downward motion.

A. Insert the catheter until a flow of urine begins.

B. Attach prefilled syringe to indwelling catheter inflation hub.

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A nurse is teaching the guardian of an infant who has developmental dysplasia of the hip about a Pavlik harness. Which of the following Instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A charge nurse is providing teaching to a newly licensed nurse on how to clean surfaces contaminated with blood. Which of the following agents should the nurse include in theteaching?

Correct Answer is C

Explanation

A nurse is preparing to insert an indwelling urinary catheter for a female client. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is D,C,E,A,B

Explanation

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