A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

I will place the retainer clip on my baby's upper abdomen.

I will turn the car seat forward facing when my baby is 1 year old.

I will position the shoulder harness straps 3 inches above my baby's shoulders.

I will position my baby at a 45-degree angle in the car seat.

None

Answer and Explanation

The Correct Answer is D

Choice A reason: The retainer clip should be at chest level, not the upper abdomen, to secure the harness and prevent injury. An abdominal position risks strap slippage, reducing safety, so this statement reflects incorrect car seat safety understanding.

Choice B reason: Switching to forward-facing at 1 year disregards recommendations to keep children rear-facing until they meet the seat’s maximum rear-facing height or weight, often beyond their second birthday.

Choice C reason: Shoulder harness straps should be at or below the shoulders in rear-facing seats, not 3 inches above, to ensure proper restraint. This positioning risks poor fit, so the statement indicates a misunderstanding of car seat safety.

Choice D reason: Reclining the seat at roughly a 45-degree angle keeps a newborn’s airway open and prevents their head from falling forward, which demonstrates a correct understanding of infant car seat positioning.

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Correct Answer is D

Explanation

Choice A reason: Airborne precautions are for diseases like tuberculosis, not bacterial meningitis, which spreads via droplets. Droplet precautions are appropriate. Using airborne risks unnecessary measures, potentially diverting resources, critical to avoid in ensuring efficient infection control and protecting others from meningitis in pediatric hospital settings.

Choice B reason: Contact precautions are for infections like MRSA, not bacterial meningitis, which requires droplet precautions for respiratory spread. Assuming contact risks inadequate protection, potentially allowing transmission, critical to prevent in ensuring effective isolation and safety for staff and patients in bacterial meningitis cases.

Choice C reason: Protective environment is for immunocompromised patients, not bacterial meningitis, which needs droplet precautions to prevent spread. Using protective environment risks inappropriate care, diverting focus from transmission prevention, critical to avoid in ensuring proper infection control for bacterial meningitis in school-age children.

Choice D reason: Droplet precautions are required for bacterial meningitis, spread via respiratory droplets, using masks and private rooms to prevent transmission. This ensures safety, protecting staff and patients, critical for effective infection control, reducing spread, and supporting recovery in school-age children with bacterial meningitis in hospital settings.

A. Monitor the neurovascular status of the child’s lower extremities every 12 hours. B. Educate the child’s guardians about pin site care prior to discharge. C. Have the child rate their level of pain every 8 hours. D. Lift the traction weights when repositioning the child in bed.

Correct Answer is B

Explanation

Choice A reason: Monitoring neurovascular status every 12 hours is too infrequent; hourly checks are needed in skeletal traction to detect compromised circulation or nerve damage early. Assuming 12-hour intervals risks delayed detection, potentially leading to ischemia or permanent injury, critical to avoid in children with femur fractures.

Choice B reason: Educating guardians about pin site care before discharge ensures proper home management, preventing infections at traction pin sites, common in skeletal traction. This education is critical for continuity of care, reducing complications like osteomyelitis, and supporting recovery in children with femur fractures managed with traction.

Choice C reason: Assessing pain every 8 hours is inadequate for a child in traction, where pain can indicate complications; 4-hour or as-needed checks are standard. Assuming 8-hour intervals risks delayed pain management, potentially worsening comfort and recovery, critical for effective care in pediatric fracture patients.

Choice D reason: Lifting traction weights during repositioning disrupts alignment, risking fracture displacement or pain. Weights must remain constant. Assuming lifting is appropriate risks compromising treatment efficacy, delaying healing, and increasing complications, critical to avoid in maintaining proper traction for femur fracture recovery in children.

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A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?

Correct Answer is D

Explanation

A nurse is developing a plan of care for a child who is in skeletal traction following a femur fracture. Which of the following actions should the nurse include in the plan?

Correct Answer is B

Explanation

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