A nurse is verifying how a client who is postpartum will use a car seat for her newborn. Which of the following statements should the nurse identify as an indication that the client understands the safe use of a car seat?

"I'll place him in the back seat facing the back seat."

"I'll place him in the front seat facing the front of the car."

"I’ll place him in the back seat facing the back of the front seat."

"I’ll place him in the front seat facing the back of the car.”

Answer and Explanation

The Correct Answer is A

A. "I'll place him in the back seat facing the back seat." – This is the correct answer. Infants should always ride in a rear-facing car seat in the back seat until at least 2 years of age.

B. "I'll place him in the front seat facing the front of the car." – The front seat is not safe for infants due to airbag deployment risks.

C. "I’ll place him in the back seat facing the back of the front seat." – This wording is unclear, but the safest position is directly facing the back of the car.

D. "I’ll place him in the front seat facing the back of the car.” – Infants should not be placed in the front seat, even if rear-facing.

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Correct Answer is A

Explanation

A. This is the correct answer. Older adults are at risk for fluid overload, so infusing blood over 4-5 hours (instead of the usual 2-4 hours) is safer.

B. Blood products must be infused with 0.9% sodium chloride (normal saline) only. Dextrose-containing solutions cause hemolysis.

C. A 20-gauge catheter is acceptable, but a larger bore (18-gauge) is preferred for faster infusion.

D. Vital signs should be monitored before the transfusion, 15 minutes after starting, then every 30-60 minutes, and at completion.

A. A child who has acute epiglottitis and is drooling B. A child who has a urinary tract infection and bright red blood in her urine C. A child who has mononucleosis and reports severe fatigue D. A child who has Wilms' tumor and an abdominal mass

Correct Answer is A

Explanation

A. A child who has acute epiglottitis and is drooling – This is the priority because drooling, stridor, and respiratory distress suggest airway obstruction, which is life-threatening. Immediate intervention is required to secure the airway.

B. A child who has a urinary tract infection and bright red blood in her urine – Hematuria can be concerning but is not immediately life-threatening.

C. A child who has mononucleosis and reports severe fatigue – Fatigue is common with mononucleosis but does not require immediate intervention.

D. A child who has Wilms' tumor and an abdominal mass – While Wilms' tumor is serious, it does not present an immediate airway or hemodynamic emergency.

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A nurse is verifying how a client who is postpartum will use a car seat for her newborn. Which of the following statements should the nurse identify as an indication that the client understands the safe use of a car seat?

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