A nurse is reinforcing teaching with a parent of a newborn about home safety precautions.

Which of the following statements by the parent indicates an understanding of the teaching?

"I will place my newborn face up on a pillow when sleeping."

"I will make sure that I can fit one finger between the mattress and the side of my newborn's crib."

"I will attach the pacifier to my newborn's clothing with a string at bedtime:"

"I will place my newborn's crib near a heat vent during cold weather"

Answer and Explanation

The Correct Answer is B

The guideline of being able to fit one finger between the mattress and the side of the crib ensures that there is a safe space to prevent entrapment and suffocation risks.

Placing a newborn on a pillow for sleep is unsafe. Infants should be placed on their backs to sleep on a firm, flat surface without pillows, blankets, or soft bedding. This reduces the risk of suffocation or sudden infant death syndrome (SIDS).

Attaching a pacifier to the newborn's clothing with a string is hazardous. Strings and cords pose a strangulation risk. Pacifiers should be used according to safe guidelines, but they should not be attached to the baby's clothing with any type of string or cord.

Placing a newborn's crib near a heat vent can result in overheating, which is a safety concern. It is important to keep the baby's sleep environment at a comfortable temperature without direct exposure to heat sources or drafts

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Correct Answer is A

Explanation

Choice A Reason:

Wipe any excess medication from the inner canthus outward. When administering ophthalmic ointment to a child, it's essential to apply the medication gently and accurately. To prevent the spread of infection and ensure proper absorption, the nurse should instruct the guardian to wipe any excess medication from the inner canthus (the inner corner of the eye) outward. This technique helps to prevent contamination of the medication tube and minimizes the risk of introducing bacteria into the eye.

Choice B Reason:

Placing an occlusive dressing on the affected eye is not necessary for treating acute bacterial conjunctivitis.

Choice C Reason:

Instructing the guardian to apply erythromycin ophthalmic ointment is incorrect because the child has been prescribed bacitracin ophthalmic ointment.

Choice D Reason:

Massaging the eyelid is not necessary and can be uncomfortable for the child. It's important to apply the medication gently and not to massage the eyelid.

A. Nursing care plan B. Incident report C. Provider's progress notes D. Controlled substance inventory record

Correct Answer is B

Explanation

An incident report is formal documentation used to report any unexpected or adverse events that occur during the course of patient care. It provides a record of the incident and helps identify areas for improvement in patient safety and quality of care. The incident report should include details about the error, the potential impact on the client, actions taken to address the error, and any necessary follow-up.

A nursing care plan is a document that outlines the client's nursing diagnoses, goals, interventions, and evaluations. It is not the appropriate place to document a medication error or incident.

The provider's progress notes are documentation made by the healthcare provider, typically documenting their assessments, diagnoses, treatment plans, and progress of the client. A medication error made by the nurse should not be documented in the provider's progress notes.

The controlled substance inventory record is a record used to track the dispensing and administration of controlled substances. While it is important to maintain accurate records of controlled substances, documenting a medication error in this record is not the appropriate place as it is primarily used for inventory management purposes

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A nurse is reinforcing teaching with a parent of a newborn about home safety precautions. Which of the following statements by the parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and has been prescribed bacitracin ophthalmic ointment. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr PRN for pain. The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident?

Correct Answer is B

Explanation

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A nurse is reinforcing teaching with a parent of a newborn about home safety precautions.

Which of the following statements by the parent indicates an understanding of the teaching?