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A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I should place my baby in the car seat at a 90-degree angle.
- B. I should keep my baby rear-facing in the car seat until she is 2 years old.
- C. I should position the car seat's retainer clip at the level of my baby's belly button.
- D. I should enable the airbag when my baby is in the front seat of the car.
Correct Answer: B
Rationale: Rear-facing until age 2 aligns with current safety guidelines.
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The child has asthma.
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will give this medication to my child every 2 hours if he is wheezing.
- B. I will give this medication to my child once daily in the evening.
- C. I can stop giving my child this medication if he is taking a steroid.
- D. It takes 2 months of scheduled use before this medication is effective.
Correct Answer: B
Rationale: Montelukast is taken once daily in the evening for asthma prevention.
A nurse on a mental health unit is caring for a client who is in restraints. Which of the following actions should the nurse take?
- A. Release the client's restraints every 4 hr.
- B. Check the client's status every hour.
- C. Obtain written consent by the client for the placement of the restraints.
- D. Document the client's behavior leading to the initiation of the restraints.
Correct Answer: D
Rationale: Documenting behavior justifies restraint use and meets legal standards.
A nurse is reviewing the medical record for a child who is scheduled to receive a varicella immunization. Which of the following findings in the client's record should the nurse recognize as a contraindication?
- A. Medications for a cardiac anomaly
- B. Chemotherapy treatments
- C. Two diarrhea stools in the last day
- D. Clear rhinorrhea
Correct Answer: B
Rationale: Chemotherapy suppresses immunity, contraindicating live vaccines like varicella.
A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make?
- A. You should only drink 2 cups of coffee per day.
- B. You should elevate the head of the bed while sleeping.
- C. You should eat three large meals and two snacks per day.
- D. You should lay down for 1 hour following a meal.
- E. None
- F. None
Correct Answer: B
Rationale: Elevating the head of the bed reduces acid reflux during sleep, a key GERD management strategy.
A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?
- A. The client's extremity should be elevated after the cast is applied.
- B. The client should use a hair dryer on a warm setting to relieve itching inside the cast.
- C. The client should keep the cast covered until it is dry.
- D. The client can shower with the cast after 24 hr.
Correct Answer: A
Rationale: Elevating the extremity reduces swelling post-cast application.