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Nurse at elementary school is planning health promotion & primary prevention class. Which topics are appropriate for parents of school-age children? (Select all that apply.)
- A. Childhood obesity
- B. Substance use disorders
- C. Scoliosis screening
- D. Front-seat seatbelt use
- E. Stranger awareness
Correct Answer: A,B,C,E
Rationale: The correct topics for parents of school-age children include childhood obesity, substance use disorders, scoliosis screening, and stranger awareness. A: Childhood obesity is relevant for promoting healthy lifestyles. B: Substance use disorders address risks children may face. C: Scoliosis screening is important for early detection. E: Stranger awareness educates on safety. Incorrect choices: D: Front-seat seatbelt use is more child-specific and not a primary concern for parents. F & G: Not provided in the question.
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Nurse educator conducting parenting class for new parents. Which statement made by participant indicates need for further teaching?
- A. I will begin swimming lessons as soon as my baby can close her mouth under water
- B. Once my baby can sit up, he should be safe in the bathtub
- C. I will test the temperature of water before placing baby in bath
- D. Once my infant starts to push up, I will remove mobile from over the bed
Correct Answer: B
Rationale: The correct answer is B. It indicates a need for further teaching because simply being able to sit up does not ensure safety in the bathtub. Babies can easily slip or slide, leading to potential accidents. Testing water temperature (Choice C) and removing hazards (Choice D) show proper safety awareness. Beginning swimming lessons (Choice A) is not recommended for infants. Other choices are not provided, but they would likely focus on safety measures and parenting practices.
A nurse delegating ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the following information should the nurse share with the AP?
- A. The roommate is up independently
- B. Client ambulates with slippers over antiembolic stockings
- C. Client uses front-wheeled walker when ambulating
- D. Client had pain medication 30 min ago
- E. Client is allergic to codeine
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. The nurse should share that the client ambulates with slippers over antiembolic stockings (B) to ensure proper footwear and prevent falls. Sharing that the client uses a front-wheeled walker when ambulating (C) is vital for safety and stability. Informing the AP that the client had pain medication 30 minutes ago (D) is crucial to prevent overexertion and ensure appropriate monitoring for side effects. Choice A is incorrect because the roommate's independence is not relevant to the client's ambulation. Choice E is also incorrect as the client's allergy to codeine is not directly related to ambulation delegation.
When entering client's room to change dressing
- A. nurse notes client is coughing & sneezing. When preparing sterile field
- B. it's important the nurse...
- C. Keep sterile field at least 6 ft away from client's bedside
- D. Instruct client to not cough/sneeze during dressing change
- E. Place mask on client to limit spread of microorganisms into surgical wound
Correct Answer: C
Rationale: The correct answer is C because keeping the sterile field at least 6 feet away from the client's bedside helps to maintain its integrity and prevent contamination. Placing the field further away reduces the risk of microorganisms reaching it during the dressing change procedure. Choice A is incorrect as the nurse should address the client's coughing and sneezing before proceeding with the dressing change. Choice B is vague and does not directly relate to maintaining sterility. Choice D is ineffective as instructing the client to stop coughing or sneezing is unrealistic. Choice E, while a good practice in general, does not directly address the maintenance of the sterile field.
Nurse counseling young adult who describes having difficulty dealing with several issues. Which problem should nurse identify as priority for further assessment & intervention?
- A. I have my own apartment now, but it's not easy living away from my parents
- B. It's been so stressful for me to even think about having my own family
- C. I don't even know who I am yet, & now I'm supposed to know what to do
- D. My girlfriend is pregnant, & I don't think I have what it takes to be a good father
Correct Answer: C
Rationale: The correct answer is C because the young adult expressing uncertainty about their own identity indicates a potential issue with self-awareness and self-esteem, which are foundational for healthy development. This can impact decision-making and overall well-being. Choices A, B, and D focus on external factors (living situation, family stress, and impending fatherhood) that can be addressed once the individual's self-identity is better understood. Prioritizing self-discovery and self-acceptance can lead to more effective coping mechanisms and decision-making skills for handling other stressors.
Nurse manager is reviewing care of client with seizures with nurses on unit. Which statement by a nurse requires more instruction?
- A. I will place the client on his side
- B. I will go to the nurses' station for assistance
- C. I will administer meds as prescribed
- D. I will be prepared to insert an airway
Correct Answer: B
Rationale: Correct Answer: B - "I will go to the nurses' station for assistance" requires more instruction.
Rationale: Going to the nurses' station may waste crucial time during a seizure. The nurse should stay with the client, ensure a safe environment (A), administer prescribed meds (C), and be prepared to insert an airway (D) if needed. Going to the nurses' station could delay necessary interventions. Placing the client on their side helps prevent aspiration, administering meds is essential for seizure management, and being prepared to insert an airway is crucial in case of respiratory compromise.