Nokea
The nurse is discharging an 8-month-old who weighs 15 lb from the hospital. The parents have put the child in the back seat of the car with the car seat facing the front. The nurse should:
- A. Ask the parents to wait while obtaining the correct car seat.
- B. Complete the discharge with the child sitting facing the front seat.
- C. Give the parents a manual on proper car seat placement.
- D. Explain the need for the rear-facing position and request assistance from a car seat technician.
Correct Answer: D
Rationale: Rear-facing car seats are recommended for infants under 2 years to protect their neck and spine.
You may also like to solve these questions
An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When initially discussing the diagnosis and treatment with the parents, which of the following would be most appropriate?
- A. Assessing the adequacy of their coping skills.
- B. Reassuring them that their child will be fine.
- C. Encouraging them to ask questions.
- D. Giving them printed material on the procedure.
Correct Answer: C
Rationale: Encouraging questions promotes understanding and engagement with the treatment plan.
The health care team wishes to establish a policy regarding sleep positions for infants with gastroesophageal reflux (GER). The first step should be to search for:
- A. Policies from other hospitals.
- B. Data from retrospective studies.
- C. Published national standards.
- D. Expert opinions.
Correct Answer: C
Rationale: National standards provide evidence-based guidance for policy development.
A school-age boy with a spinal cord injury is moved to the rehabilitation unit. The nurse notes that the child tends to refuse to cooperate in care and is quiet. The nurse interprets this behavior as indicative of which of the following?
- A. A stage of grief reaction.
- B. A phase of rebellion.
- C. A reaction to sensory overload.
- D. A response to too much attention.
Correct Answer: A
Rationale: Refusal and withdrawal are consistent with grief, reflecting the child's adjustment to significant loss of function.
The nurse is caring for a child in Bryant’s traction (see fi gure). The nurse should:
- A. Adjust the weights on the legs until the buttocks rest on the bed.
- B. Provide frequent skin care.
- C. Place a pillow under the buttocks.
- D. Remove the elastic leg wraps every 8 hours for 10 minutes.
Correct Answer: B
Rationale: The traction is positioned correctly; the nurse should provide frequent skin care to the back and shoulder areas. The hips and buttocks should be lifted off the bed to provide counter traction; the nurse should not adjust the weights. The nurse should not place a pillow under the buttocks as this would prevent counter traction. The elastic wraps should remain on the legs unless permitted by the physician.
The nurse is planning care for a child with hemophilia who is scheduled for a dental procedure. Which precaution should the nurse include?
- A. Administer ibuprofen for post-procedure pain.
- B. Schedule the procedure without prior preparation.
- C. Ensure factor replacement therapy is given before the procedure.
- D. Encourage vigorous rinsing of the mouth post-procedure.
Correct Answer: C
Rationale: Factor replacement therapy before dental procedures prevents excessive bleeding in hemophilia. Ibuprofen and vigorous rinsing increase bleeding risk.