Nokea
When an infant car seat is properly installed, the infant should face
- A. forward, so child may look out window
- B. backward, so child faces the seat
- C. the side window, to increase urinary stimulation
- D. upward, as child lies on back with seat installed sideways
Correct Answer: B
Rationale: Infants should be positioned reclining and facing the rear until their leg muscles are strong enough to kick away from the backseat (about 10-12 months-old) for the greatest protection.
You may also like to solve these questions
The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are elevated. What dietary modifications are most appropriate?
- A. Decreased carbohydrates and fat
- B. Decreased sodium and potassium
- C. Increased potassium and protein
- D. Increased sodium and fluids
Correct Answer: B
Rationale: Decreased sodium and potassium. Children with AGN who have edema, hypertension, oliguria, and azotemia have dietary restrictions limiting sodium, potassium, fluids, and protein.
The nurse realizes that a fire has started in the client's room. Which action should be taken by the nurse first?
- A. Find the nearest fire alarm to activate.
- B. Extinguish the fire with a blanket.
- C. Remove the client from the room.
- D. Telephone the operator to announce a fire.
Correct Answer: C
Rationale: Removing the client from the room is the priority to ensure their safety from the fire, following the RACE protocol (Rescue, Alarm, Contain, Extinguish).
A client taking isotretinoin (Accutane) tells the nurse that she is pregnant. What should the nurse teach this client?
- A. Her pregnancy is threatened, and the fetus is at risk for teratogenesis.
- B. She has a reportable condition, and the pregnancy must be terminated.
- C. Accutane is a Category D drug, which means it is unsafe in pregnancy.
- D. Her pregnancy must be followed carefully by a genetic specialist.
Correct Answer: A
Rationale: Accutane is a Category X drug, which means pregnancy is contraindicated due to teratogenesis associated with the medication.
After securing the client's safety from a faulty electric bed, the nurse should take which action?
- A. Discuss the matter with the client's significant others.
- B. Document the incident in the client's record in detail.
- C. Notify the physician.
- D. Prepare an incident report.
Correct Answer: D
Rationale: After the situation is safe for the client, the nurse should record the occurrence on an incident form according to the agency protocol.
The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?
- A. Hold and cuddle the child frequently
- B. Encourage the child to feed himself finger food
- C. Allow the child to walk independently on the nursing unit
- D. Engage the child in games with other children
Correct Answer: B
Rationale: Encourage the child to feed himself finger food. According to Erikson, the toddler is in the stage of autonomy versus shame and doubt. The nurse should encourage increasingly independent activities of daily living that allow the toddler to assert his budding sense of control.