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A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
- A. Place the shoulder harnesses at the level of the infant's shoulders.
- B. Put a small cushion under the newborn's head for support.
- C. Position the car seat at a 90-degree angle.
- D. Keep the airbag on if the car seat is in the front seat.
Correct Answer: A
Rationale: Shoulder harnesses at shoulder level ensure proper restraint fit.
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The nurse notes that the skin around the catheter's insertion site is edematous and cool.
A nurse is caring for a client who is receiving a continuous IV infusion. The nurse notes that the skin around the catheter's insertion site is edematous and cool. Which of the following actions should the nurse take first?
- A. Document the infiltration
- B. Apply a warm compress
- C. Elevate the arm
- D. Stop the infusion
Correct Answer: D
Rationale: Stopping the infusion prevents further fluid extravasation.
A nurse is reinforcing teaching about newborn care with a new guardian. Which of the following statements by the guardian indicates an understanding of the teaching?
- A. I will bathe my baby under a faucet of running water.
- B. I will wash my baby's face with a warm, wet washcloth without soap.
- C. I will wash my baby's head using a moist towelette.
- D. I will give my baby a bath every day.
Correct Answer: B
Rationale: Washing the face with a warm, wet washcloth without soap prevents irritation, showing understanding.
A nurse is reinforcing teaching with a client about advanced directives. Which of the following information should the nurse include?
- A. Once you have completed a living will, it cannot be changed.
- B. You should appoint a family member as your health care surrogate.
- C. Your health care surrogate will make decisions on your behalf if you are unable.
- D. You will need an attorney to appoint a health care surrogate.
Correct Answer: C
Rationale: A health care surrogate acts on the client's behalf if incapacitated.
A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak. Which of the following interventions should the nurse recommend?
- A. Administer an antibiotic medication.
- B. Cleanse skin eruptions with povidone-iodine.
- C. Avoid over-the-counter topical ointments.
- D. Place disposable thermometers in the client's room.
Correct Answer: C
Rationale: Avoiding OTC ointments prevents irritation or delayed healing in herpes simplex outbreaks.
A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by a guardian indicates an understanding of the teaching?
- A. My baby will receive three doses of the meningococcal immunization before kindergarten.
- B. I should not feed my baby anything for 2 hours prior to an immunization.
- C. I should expect my baby to have a high fever for 24 hours after an immunization.
- D. My baby will receive the rotavirus immunization orally.
Correct Answer: D
Rationale: Rotavirus vaccine is given orally, indicating understanding.