Nokea
The caregiver is teaching the mother of a toddler about burn prevention. Which response by the mother indicates a need for further teaching?
- A. We will leave fireworks displays to the professionals.
- B. I will set our water heater at 130 degrees.
- C. All sleepwear should be flame retardant.
- D. The handles of pots on the stove should face inward.
Correct Answer: B
Rationale: The correct answer is B. Setting the water heater at 130 degrees is incorrect because water heaters should be set to no higher than 120 degrees to prevent scald burns. Choice A is correct as leaving fireworks displays to professionals reduces the risk of burns. Choice C is also correct as flame-retardant sleepwear reduces the risk of burn injuries. Choice D is correct as keeping pot handles facing inward prevents accidental spills and burns.
You may also like to solve these questions
A mother confides to the nurse that she is thinking of divorce. Which suggestion by the nurse would help minimize the effects on the child?
- A. Tell the child together using appropriate terms.
- B. Reassure the child that no one loves him more than his parents.
- C. Engage in special activities with the child to compensate for the divorce.
- D. Keep your feelings to yourself and maintain a positive facade with the child.
Correct Answer: A
Rationale: In situations of divorce, it is crucial for both parents to inform the child together using age-appropriate language. This approach helps maintain consistency and clarity for the child, reducing confusion and anxiety. Choice B is incorrect because reassurance should not be solely focused on love but on explaining the situation appropriately. Choice C may inadvertently send the message that the divorce is the child's fault or requires compensation. Choice D is incorrect as children benefit from understanding and processing emotions in a healthy manner, rather than having them kept hidden.
The nurse is assessing a child with a possible fracture. What would the nurse identify as the most reliable indicator?
- A. Lack of spontaneous movement
- B. Point tenderness
- C. Bruising
- D. Inability to bear weight
Correct Answer: B
Rationale: Point tenderness is the most reliable indicator of a possible fracture in a child. It is a localized tenderness experienced when pressure is applied to a specific area, suggesting a potential fracture. This tenderness is considered more specific to a fracture than other symptoms such as lack of spontaneous movement, bruising, or inability to bear weight. Lack of spontaneous movement and inability to bear weight can be present in various musculoskeletal injuries, while bruising may not always be immediate or specific to a fracture.
The healthcare provider is assessing the 'resilience' of a 16-year-old boy. Which exemplifies an external protective factor that may help promote resilience in this child?
- A. His ability to take control of his own decisions
- B. His ability to accept his own limitations
- C. His caring relationship with members of his family
- D. His knowledge of when to continue or stop with goal achievement
Correct Answer: C
Rationale: A caring relationship with family members is an external protective factor that promotes resilience in individuals, especially in adolescents. This support system provides a sense of security, stability, and emotional connection, which can help the teenager navigate challenges and setbacks. Choices A, B, and D allude to internal factors related to personal decision-making, self-awareness, and goal management, which are important but do not directly represent external protective factors involving external relationships or resources.
A parent asks a nurse how to tell the difference between measles (rubeola) and German measles (rubella). What should the nurse tell the parent about rubeola that is different from rubella?
- A. High fever and Koplik spots
- B. Rash on the trunk with pruritus
- C. Nausea, vomiting, and abdominal cramps
- D. Characteristics of a cold, followed by a rash
Correct Answer: A
Rationale: The correct answer is A: 'High fever and Koplik spots.' Rubeola (measles) is characterized by a high fever and the presence of Koplik spots, which are not seen in rubella (German measles). Choice B, rash on the trunk with pruritus, is more indicative of rubella. Choice C, nausea, vomiting, and abdominal cramps, are not specific to either rubeola or rubella. Choice D, characteristics of a cold followed by a rash, is not a typical presentation of rubeola or rubella.
The school nurse is caring for a boy with hemophilia who fell on his arm during recess. What supportive measures should the nurse use until factor replacement therapy can be instituted?
- A. Apply warm, moist compresses
- B. Apply pressure for at least 1 minute
- C. Elevate the area above the level of the heart
- D. Begin passive range-of-motion unless the pain is severe
Correct Answer: C
Rationale: Elevating the affected area above the level of the heart is the correct supportive measure for a child with hemophilia who has experienced trauma. This action helps reduce bleeding and swelling by promoting venous return and preventing further pooling of blood in the affected area. Applying warm, moist compresses (Choice A) may not be recommended as it can potentially increase bleeding by dilating blood vessels. Applying pressure for at least 1 minute (Choice B) can be helpful for minor cuts or wounds but may not be as effective in managing bleeding in a child with hemophilia. Beginning passive range-of-motion (Choice D) should be avoided as it can exacerbate bleeding and cause further damage in a child with hemophilia.