Nokea
The nurse is reinforcing postpartum discharge instructions to a client. Which instruction should the nurse include to promote newborn safety?
- A. Avoid using blankets to position the newborn in the car seat
- B. Place the newborn in the prone position in bed while sleeping
- C. Position the newborn's car seat in the back seat facing forward
- D. Remove pillows and loose blankets from the newborn's crib
Correct Answer: D
Rationale: Removing pillows and blankets from the crib reduces SIDS risk. Blankets in car seats are unsafe, prone sleeping increases SIDS risk, and forward-facing car seats are incorrect for newborns.
You may also like to solve these questions
The nurse is contributing to a staff education program about cancer screening. Which of the following findings should the nurse suggest including as a possible warning sign of cancer?
- A. recent diagnosis of benign prostatic hyperplasia
- B. unintentional weight loss of 15 lb (6.8 kg) over the past 3 months
- C. a doughy, mobile, golf ball-sized lesion under the skin on the thigh
- D. a fever, productive cough, and hoarseness for the past 5 days
Correct Answer: B
Rationale: Unintentional weight loss is a cancer warning sign. BPH is benign, a mobile lesion is likely benign, and cough/fever suggest infection.
The nurse in the outpatient clinic is caring for a client whose obstetric history is documented as G3 T1 P2 A1 L2. The nurse should recognize that the client
- A. has 3 living children
- B. is currently not pregnant
- C. had 1 live birth after 37 weeks gestation
- D. had 3 births between 20 weeks and 36 weeks gestation
Correct Answer: C
Rationale: G3 indicates 3 pregnancies; T1 means 1 term birth (37 weeks); P2 means 2 preterm births (20-36 weeks); A1 means 1 abortion; L2 means 2 living children. Thus, C is correct as it matches T1.
The nurse is caring for a client receiving Theodur (theophylline). Side effects associated with bronchodilators include:
- A. Irritability, rapid pulse, and palpitations
- B. Slow pulse, increased appetite, and sweating
- C. Anxiety, nausea, and increased blood pressure
- D. Drowsiness, vomiting, and decreased blood sugar
Correct Answer: A
Rationale: Theophylline can cause irritability, rapid pulse, and palpitations due to its stimulant effects. Slow pulse , drowsiness , or decreased blood sugar are not typical.
A client is prescribed warfarin sodium (Coumadin) to be continued at home. Which focus is critical to be included in the nurse's discharge instruction?
- A. Maintain a consistent intake of green leafy foods
- B. Report any nose or gum bleeds
- C. Take Tylenol for minor pains
- D. Use a soft toothbrush
Correct Answer: B
Rationale: Report any nose or gum bleeds. The client should notify the health care provider if blood is noted in stools or urine, or any other signs of bleeding occur.
The nurse is giving unlicensed assistive personnel directions for bathing a client who has a surgical incision infected with methicillin-resistant Staphylococcus aureus. Which instructions would be most effective for reducing infection?
- A. Assist the client to the shower and provide directions to use antibacterial soap
- B. Delay the bath until the client has received antibiotic therapy for 24 hours
- C. Use a bath basin with warm water and a new washcloth for each body area
- D. Use packaged pre-moistened cloths containing chlorhexidine to bathe the client
Correct Answer: D
Rationale: Chlorhexidine cloths effectively reduce MRSA. Antibacterial soap is less specific, delaying the bath is unnecessary, and a bath basin risks contamination.