During a clinic visit, the practical nurse (PN) observes an infant sucking on a pacifier that is made from a bottle nipple and stuffed with cotton. What should the PM do?
Encourage the mother to use a one-piece pacifier.
Observe infant for difficulty in sucking.
Tell the mother that pacifiers can cause dental problems.
Compliment the mother for meeting her infant's needs.
The Correct Answer is A
A. Encouraging the mother to use a one-piece pacifier is the appropriate action as it reduces the risk of choking or ingestion of small parts and is safer for the infant.
B. Observing the infant for difficulty in sucking is important, but addressing the safety of the pacifier takes precedence.
C. Informing the mother about potential dental problems associated with pacifier use might be relevant but doesn't address the immediate safety concern of the makeshift pacifier.
D. Complimenting the mother for meeting her infant's needs doesn't address the potential safety risks associated with the homemade pacifier.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Checking for kinks in the drainage tubing is important, but the observed clots and thick red fluid suggest potential complications that require immediate attention and should be reported. B. Waiting for an hour to observe again could delay necessary interventions if there's an issue with bleeding or clot formation, so reporting immediately is more prudent.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation. Reporting to a superior nurse allows for prompt evaluation and intervention.
Correct Answer is B
Explanation
A. Documenting the client's understanding is important, but correcting the misconception about the use of the eye drops is the immediate priority.
B. Reminding the client about the intended action of the eye drops helps clarify their purpose in managing glaucoma by reducing intraocular pressure.
C. Assessing the intensity of eye pain using a numerical pain scale might not be necessary in this context as the client's misconception about the eye drops needs correction.
D . Clarifying that eye pain in glaucoma is uncommon does not address the client's misunderstanding about the purpose of the pilocarpine eye drops.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today