When preparing to apply a restraint to a child, what would be most important for the nurse to do?

Expect to keep the restraint on for at least 8 hours.

Explain that safety, not punishment, is the reason for the restraint.

Use a limb restraint rather than a jacket restraint for most issues.

Plan to use a square knot to secure the restraint to the side rails.

Answer and Explanation

The Correct Answer is B

A. Incorrect: Restraints should be used for the shortest time possible and require frequent reassessment (typically every 1-2 hours in children).

B. Correct: Clear communication that restraints are for safety, not punishment, is essential to reduce fear and anxiety.

C. Incorrect: The type of restraint used depends on the child's needs and the situation, not a general preference for limb restraints.

D. Incorrect: A square knot is unsafe because it is difficult to release quickly. A quick-release knot should always be used.

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Correct Answer is C

Explanation

A. Incorrect: Fires are a safety risk but are not the leading cause of adolescent injury.

B. Incorrect: Drowning is a major concern in children but not the leading cause of adolescent injuries.

C. Correct: Motor vehicle accidents are the leading cause of death and injury in adolescents, often due to inexperience, distracted driving, and risk-taking behaviors.

D. Incorrect: Firearm injuries are a serious concern but rank below motor vehicle accidents in overall adolescent injury statistics.

A. "His head has flattened due to the pressure of his head position." B. "I need to change his head position while he is in an upright chair." C. "I need to watch him during his tummy time." D. "I should have him sleep on his tummy."

Correct Answer is D

Explanation

A. Correct: Flattening of the occiput (plagiocephaly) is caused by prolonged pressure on one part of the skull.

B. Correct: Repositioning the head in an upright chair can help reduce continuous pressure on one spot.

C. Correct: Supervision during tummy time is necessary to ensure safety and prevent suffocation.

D. Incorrect: Infants should always sleep on their backs to reduce the risk of Sudden Infant Death Syndrome (SIDS). Tummy time should be done while the infant is awake and supervised.

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When preparing to apply a restraint to a child, what would be most important for the nurse to do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a class for a group of adolescents about promoting safety. What would the nurse plan to include as the leading cause of adolescent injuries?

Correct Answer is C

Explanation

The nurse is conducting a routine health assessment of a 3-month-old boy and notices a flat occiput. The nurse provides teaching and emphasizes the importance of tummy time. Which response by the mother indicates a need for further teaching?

Correct Answer is D

Explanation

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