Nokea
The nurse is discussing with the parents of the full-term newborn the infant's transportation in a vehicle. Which information should the nurse provide? Select all that apply.
- A. The infant should be restrained in a car seat located in the backseat facing the rear of the car.
- B. The infant should be restrained in a car seat located in the backseat facing the front of the car.
- C. An infant car seat may be designed only for infants; if so, obtain another one when the infant reaches the weight limit for that model.
- D. Some states and provinces in the United States and Canada have mandated the use of infant and child restraints.
- E. A car seat should have a certification label stating that it complies with federal motor vehicle safety standards.
Correct Answer: A,C,E
Rationale: A: Rear-facing car seats in the backseat are safest. C: Infant-only car seats have weight limits requiring replacement. E: Certification ensures safety compliance. B is incorrect as forward-facing is unsafe for infants.
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A nurse is implementing a community awareness campaign about accidental poisoning. Which of the following should she teach in the class?
- A. The child should be given milk.
- B. The child should be given syrup of Ipecac.
- C. The poison control center should be contacted.
- D. The child should be taken to the ER.
Correct Answer: C
Rationale: The poison control center should be contacted first to provide expert guidance on managing the poisoning.
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
- A. An infant with a positive culture of stool for Shigella
- B. An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
- C. A young adult commercial pilot with a positive histopathological examination from an induced sputum for Pneumocystis carinii
- D. A middle-aged nurse with a history of varicella zoster virus and with crops of vesicles on an erythematous base that appear on the skin
Correct Answer: B
Rationale: Tuberculosis is a reportable disease because persons who had contact with the client must be traced and often must be treated with chemoprophylaxis for a designated time.
Which of these clients would be the highest priority for the nurse to assign to a private room?
- A. A client with a new diagnosis of tuberculosis
- B. A client with a urinary tract infection
- C. A client post-appendectomy with a surgical site infection
- D. A client with seasonal influenza
Correct Answer: A
Rationale: A client with tuberculosis requires a private room with negative pressure to prevent airborne transmission of the disease.
The client had a THR. The nurse is discussing home modifications with the client's son. Which modifications should the nurse recommend? Select all that apply.
- A. Pad bed side rails.
- B. Install safety bars around the toilet and shower.
- C. Install an elevated toilet seat in the bathroom.
- D. Plan for the client's bed to be in a main floor room.
- E. Use a nonskid bathmat in the bathtub for the client's daily bath.
- F. Remove scatter rugs and secure electrical cords against baseboards.
Correct Answer: B,C,D,F
Rationale: B: Safety bars aid mobility. C: Elevated toilet seat prevents excessive hip flexion. D: Main floor bedroom avoids stairs. F: Removing rugs and cords prevents tripping. A is unnecessary, and E is incorrect as tub baths are avoided post-THR.
The new NA is caring for the client who is at risk for a fall. Which statement by the nurse to the new NA is most important?
- A. "Remind the client to call for assistance before getting out of bed."
- B. "Clip the call light to the bedcovers so the client can find it easily."
- C. "Be sure the bed is in the lowest position when you leave the room."
- D. "Check that you have all four side rails up after you provide care."
Correct Answer: C
Rationale: Ensuring the bed is in the lowest position is critical to minimize injury from a fall, which poses a greater risk than other options. Four side rails (D) are considered a restraint and should be avoided.