A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)

Set the water heater at 65.6° C (150° F).

Install accordion style gates.

Fit the mattress so that it is snug against the sides of the crib

Tie plastic bags in knots before discarding them.

Serve food in small, non-circular pieces

Answer and Explanation

Correct Answer : C,D,E

A. Set the water heater at 65.6° C (150° F):
The recommended temperature for a water heater is around 49°C (120°F) to prevent burns. Setting it at 65.6°C (150°F) can lead to scald injuries.
B. Install accordion style gates: Accordion-style gates are not recommended because they can pose a strangulation risk. The safer option is to use gates with vertical or horizontal slats that are spaced closer together.
C. Fit the mattress so that it is snug against the sides of the crib: A snug-fitting mattress prevents gaps where the baby could get trapped or injured.
D. Tie plastic bags in knots before discarding them:
This prevents accidental suffocation or choking hazards that can occur if an infant gets hold of a plastic bag.
E. Serve food in small, non-circular pieces: Serving food in small, non-circular pieces reduces the risk of choking. Infants should be given age-appropriate foods to minimize the risk of choking, and cutting food into small, easy-to-manage pieces is recommended.

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Correct Answer is ["A","B","D"]

Explanation

A. Varicella (VARI): Correct
Explanation: The varicella vaccine protects against chickenpox. The CDC recommends that children receive the first dose of the varicella vaccine at age 1.
B. Diphtheria, tetanus, and acellular pertussis (DTaP): Correct
Explanation: The DTaP vaccine protects against diphtheria, tetanus, and pertussis. The first dose is typically given at 2 months, with subsequent doses given at 4 months, 6 months, 15-18 months, and 4-6 years of age.
C. Human papillomavirus (HPV4): Incorrect
Explanation: The HPV vaccine is not typically administered at age 1. It is usually recommended for adolescents, starting around age 11 or 12. The HPV vaccine is given in a series of doses.
D. Measles, mumps, rubella (MMR): Correct
Explanation: The MMR vaccine protects against measles, mumps, and rubella. The first dose is usually given at age 1, with a second dose recommended at 4-6 years of age.
E. Rotavirus (RV): Incorrect
The rotavirus vaccine is usually given in a series of doses starting at 2 months of age, with the last dose administered by 8 months. It is not a vaccine that is typically given at age 1.

A. carry a water bottle with me because I drink a lot of water." B. use a suppository every night to have a bowel movement." C. I do wheelchair exercises while watching TV." D. only need to catheterize myself twice every day"

Correct Answer is D

Explanation

A. "Carry a water bottle with me because I drink a lot of water."
Explanation: Staying hydrated is crucial, especially for individuals with paralysis who may be prone to urinary issues. Carrying a water bottle is a good practice to maintain adequate hydration.
B. "Use a suppository every night to have a bowel movement."
Explanation: Using a suppository for regular bowel movements is a positive self-care behavior. It helps manage bowel care, which is important for individuals with paralysis.
C. "I do wheelchair exercises while watching TV."
Explanation: Engaging in wheelchair exercises to maintain mobility is a positive self-care behavior. It helps prevent complications related to being sedentary, such as muscle atrophy.
D. "I only need to catheterize myself twice every day."
Explanation: This statement may indicate a need for further teaching. Individuals with paralysis, especially due to conditions like spina bifida, often have neurogenic bladder dysfunction. They typically require more frequent catheterization, potentially every 4-6 hours, to ensure adequate bladder emptying and reduce the risk of complications like urinary tract infections (UTIs) or bladder infections.

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A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)

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