A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
"Your child should ride the bicycle against the flow of traffic."
"Your child should walk the bicycle through intersections."
"Your child should keep the bicycle at least 3 feet from the curb while riding in the street."
"Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle."
The Correct Answer is B
Choice A Reason:
"Your child should ride the bicycle against the flow of traffic." This instruction is incorrect. Children should ride their bicycles in the same direction as traffic flow to reduce the risk of accidents.
Choice B Reason:
This instruction emphasizes the importance of caution and attentiveness when crossing intersections. Walking the bicycle through intersections allows the child to have better control and visibility, reducing the risk of collisions with vehicles or other cyclists. It also ensures that the child can more easily observe traffic signals and pedestrian crossings. Therefore, this instruction promotes safe behavior and helps prevent accidents at intersection
Choice C Reason:
"Your child should keep the bicycle at least 3 feet from the curb while riding in the street." This instruction is a good guideline. Riding a safe distance away from the curb can help avoid obstacles and allow for better maneuverability. eeping the bicycle at least 3 feet from the curb allows for a buffer zone between the cyclist and potential hazards such as parked cars, debris, or opening car doors. It also increases visibility to motorists and reduces the risk of being struck by a car or encountering obstacles in the roadway.
Choice D Reason:
"Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle." This instruction isn't related to safety but rather to the appropriate seat height adjustment for comfortable and efficient cycling. It might not be a primary safety concern.
Both instructions contribute to overall bicycle safety, but if we have to choose one, "B. Your child should walk the bicycle through intersections" is crucial because intersections are high-risk areas where accidents are more likely to occur. Therefore, this instruction should be prioritized in the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
In teaching parents of a preschool-age child with heart failure, the nurse should include the following information:
Choice A Reason:
Withhold digoxin if the child's pulse is greater than 100/min. While monitoring the pulse rate is important in children taking digoxin, a pulse rate greater than 100/min alone may not always indicate the need to withhold digoxin. The decision to withhold digoxin should be based on healthcare provider instructions and specific parameters provided for the child's case.
Choice B Reason:
Increase the child's oxygen flow rate until the child no longer has cyanosis. Adjusting oxygen flow rates should be done under the guidance of healthcare providers and based on prescribed protocols. Cyanosis is a serious sign indicating decreased oxygenation and should be addressed promptly by seeking medical attention rather than attempting to adjust oxygen flow rates at home.
Choice C Reason:
Weigh the child once each month. Monitoring the child's weight is important in heart failure management to track fluid retention, but weighing the child once a month may not provide sufficient monitoring. The healthcare provider might recommend more frequent weight checks to monitor fluid status accurately.
Choice D Reason:
Provide for periods of rest. Children with heart failure often have limited cardiac reserve and can easily become fatigued. Allowing the child periods of rest is essential to conserve energy and prevent excessive fatigue or exhaustion.
Correct Answer is A
Explanation
Choice A Reason:
"I cannot confirm or deny that we have a client by that name." This response respects the patient's right to confidentiality under HIPAA (Health Insurance Portability and Accountability Act) regulations. It neither confirms nor denies the patient's presence in the hospital, preserving the patient's privacy and confidentiality.
Choice B Reason:
"I will tell him you called." This response doesn't uphold patient confidentiality. Revealing that the employer called could indirectly confirm the patient's presence in the hospital, potentially breaching confidentiality.
Choice C Reason:
"The client's condition is stable right now." Sharing any information about the patient's condition with someone who hasn't been authorized to receive it breaches patient confidentiality. Even sharing a seemingly benign statement about stability can indirectly disclose the patient's presence in the hospital.
Choice D Reason:
"He is here in the hospital, but I cannot tell you anything else. “While it refrains from divulging more information, it still confirms the patient's presence in the hospital, breaching confidentiality.
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