An emergency department nurse is discharging a toddler to home with family following an episode of choking. Which of the following instructions should the nurse include in the discharge teaching?
Toddlers do not need to be closely supervised while eating if no high-risk foods are given
Toddlers should only play with toys that are approved for their age group.
High-risk foods like carrots and hot dogs should be cut into small pieces before being given to infants and toddlers.
Toddlers can eat peanuts if the shell has been removed.
The Correct Answer is C
Foods like carrots and hot dogs can pose a choking hazard due to their shape and texture. Cutting these foods into small, manageable pieces reduces the risk of choking by making them easier to chew and swallow safely.
A. Toddlers should always be closely supervised while eating, regardless of the types of foods being given. Supervision helps to ensure that toddlers are eating safely and can receive prompt assistance if they experience any difficulties or choking incidents.
B. While it is important for toddlers to play with age-appropriate toys, this instruction is not directly related to preventing choking incidents specifically.
D. Peanuts are considered a high-risk food for choking, and even if the shell has been removed, they can still pose a choking hazard to toddlers.
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Correct Answer is D
Explanation
Nursing advocacy involves advocating for the rights and well-being of the client. Ensuring that the client has given informed consent for care aligns with this principle. Informed consent involves providing the client with all necessary information about their treatment options, risks, benefits, and alternatives so they can make an informed decision about their care. This empowers the client to actively participate in their healthcare decisions, which is a key aspect of nursing advocacy.
Correct Answer is A
Explanation
When the care plan is not followed during a home visit, the first step for the nurse should be to discuss with the family what changes or challenges have occurred that prevented them from following the plan of care. This approach allows the nurse to gain insight into any barriers or issues the family may be facing, which can then inform the next steps in revising or adapting the care plan to better suit the family's needs and circumstances.
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