Nokea
The nurse is performing discharge teaching to a client who gave birth to her first child. Which statement by the client indicates a need for further teaching?
- A. I will put my baby to sleep on her tummy.
- B. My baby's first visit to the doctor should be 3 to 5 days after birth.
- C. I should keep my baby in an approved car seat while riding in the car.
- D. I will keep the numbers of my pediatrician and the poison control center handy.
Correct Answer: A
Rationale: Tummy sleeping increases SIDS risk; back sleeping is recommended. Other statements are correct.
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The nurse is educating a client on meningitis. Which statements would the nurse include in the teaching? Select all that apply.
- A. The CDC recommends an initial vaccine at age 6 or upon entering first grade.
- B. Immunocompromised clients and older adults are at increased risk of meningitis.
- C. Viral meningitis is the most common type; typically, no organisms are isolated from CSF cultures.
- D. Young preschool-age children have the highest rates of infection from life-threatening meningococcal infection.
- E. A booster vaccine is given at age 11 or 12 to children living in crowded spaces, such as group homes or summer camps.
Correct Answer: B,C
Rationale: Immunocompromised and older adults are at risk, and viral meningitis is common with negative CSF cultures. The meningococcal vaccine is recommended at 11-12 years, not 6, and boosters are for all teens, not just those in crowded settings. Preschoolers are not the highest-risk group.
The nurse is supervising the unlicensed assistive personnel (UAP) while providing care for a client with an internal radioactive implant. Which action by the UAP requires immediate intervention by the nurse?
- A. The UAP assists the client in setting up the meal tray.
- B. The UAP wears a dosimeter badge while performing client care.
- C. The UAP closes the door to the room upon entering and exiting.
- D. The UAP places soiled linen in a laundry cart and takes it to the soiled utility area.
Correct Answer: A
Rationale: UAPs should not provide direct care like setting up meal trays due to radiation exposure risk. Other actions are appropriate.