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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A Reason:

A school-age child who has diabetes mellitus and a blood glucose of 200 mg/dL. A blood glucose level of 200 mg/dL in a child with diabetes may require management, but it might not present an immediate life-threatening situation.

Choice B Reason:

A toddler who has nephrotic syndrome and facial edema. Facial edema in a child with nephrotic syndrome requires assessment and potential intervention but might not pose an immediate threat to life compared to an airway obstruction.

Choice C Reason:

A preschool-age child who has a muffled voice and no spontaneous cough. A muffled voice and the absence of spontaneous cough could be indicative of an upper airway obstruction, which can be life-threatening. This requires immediate assessment and intervention to ensure the child's airway is clear and that breathing is not compromised.

Choice D Reason:

An adolescent who has Crohn's disease and a recent weight loss of 5 kg (11 lb).

- Weight loss in an adolescent with Crohn's disease is concerning but might not represent an immediate life-threatening situation compared to a potential airway obstruction.

A. Obtain written consent from the client. B. Contact the client's parents to obtain phone consent. C. Postpone the testing until the client's parents are present. D. Request verbal consent from the social worker.

Correct Answer is A

Explanation

Choice A Reason:

Obtain written consent from the client is correct. In many jurisdictions, adolescents have the legal right to consent to STI testing and treatment without parental involvement or notification. Healthcare providers must adhere to confidentiality and privacy laws regarding adolescent health, particularly concerning sensitive issues like STI testing and treatment.

Choice B Reason:

Contact the client's parents to obtain phone consent is incorrect. Contacting the client's parents for consent might breach the adolescent's privacy and confidentiality, particularly in cases where they have the legal right to seek STI testing without parental involvement. In many jurisdictions, adolescents have the right to confidential healthcare services related to sexual health.

Choice C Reason:

Postpone the testing until the client's parents are present is incorrect. Delaying the testing until the client's parents are present could potentially compromise the adolescent's health. Confidentiality and timely access to healthcare services are critical, especially in cases concerning sexual health where prompt testing and treatment might be necessary.

Choice D Reason:

Request verbal consent from the social worker. Obtaining consent through a social worker might not follow proper healthcare protocols. Written consent from the adolescent themselves, if legally permissible, is typically required for such medical procedures, ensuring proper documentation and legal compliance.

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