The nurse is planning to teach infant care and preventive measures for sudden infant death syndrome (SIDS) to a group of new parents. Which information is most important for the nurse to include?
Ensure that the infant's crib mattress is firm.
Prop the infant with a pillow when in a side-lying position.
Swaddle the infant in a blanket for sleeping.
Place the infant in a prone position whenever possible.
The Correct Answer is A
A. Ensure that the infant's crib mattress is firm. Rationale: A firm mattress reduces the risk of SIDS as it prevents the infant's face from sinking into the mattress, which could obstruct
breathing.
B. Prop the infant with a pillow when in a side-lying position. Rationale: Pillows should not be used with infants due to the risk of suffocation and increased risk of SIDS.
C. Swaddle the infant in a blanket for sleeping. Rationale: While swaddling can be comforting, it should be done correctly to avoid too tight swaddling, which can lead to overheating, another SIDS risk factor.
D. Place the infant in a prone position whenever possible. Rationale: Infants should be placed on their backs to sleep, not on their stomachs, as back-sleeping is associated with a decreased risk of SIDS. Prone sleeping positions are discouraged.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
- A: Nitroglycerin is contraindicated with tadalafil due to the risk of severe hypotension. Advising the client to take nitroglycerin could lead to a dangerous drop in blood pressure.
- B: While it is important to monitor for serious side effects, immediate emergency department care may not be necessary if the client is not experiencing chest pain or other severe symptoms.
- C: Increasing oral fluids does not address the underlying cause of the skin flushing and is not a recommended action for this symptom in relation to tadalafil use.
- D: Skin flushing is a common side effect of tadalafil and is usually self-limiting. Reassuring the client about the nature of this side effect is appropriate, as long as the client is not experiencing chest pain or other severe symptoms related to his history of stable angina.
Correct Answer is B
Explanation
A. Determining the need for urinary catheterization is within the scope of a registered nurse (RN), as it involves assessment and clinical judgment. A practical nurse (PN) does not independently determine the need for catheterization.
B. Titrating oxygen within prescribed parameters is an appropriate task for a PN, as it involves following provider orders and monitoring the client's response while working under RN supervision.
C. Receiving a postoperative client and conducting the initial assessment requires comprehensive assessment skills, which fall within the RN's scope of practice rather than the PN's.
D. Evaluating and updating plans of care require critical thinking and clinical decision-making, which are responsibilities of the RN. The PN can contribute to care but does not independently evaluate or modify care plans.
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