Reduction of Risk Potential EAQ

Which statement would the nurse make when providing information to the parent of a child who calls the pediatric clinic after dropping a mercury thermometer at home?

"Clean up the spill using paper towels and disposable gloves."

Which reason would the nurse document as "nonadherence" for the client not adhering to the prescribed antibiotic therapy?

"I left my pills in the bedroom and I forgot to take them with breakfast."

Which is the most common cause of vehicle injuries in children?

Disobeying common traffic regulations

The nurse finds that her or his surgical mask has become moist before going to a surgery. Which would the nurse do?

Dispose of the mask and put on a new one.

How long would the nurse maintain isolation of a child with bacterial meningitis?

For 48 hours after antibiotic therapy begins

When the nurse who is carrying a newborn to the mother enters the room, a visitor ask to hold the infant. The visitor is sneezing and coughing. Which is the most important measure for the nurse to take at this time?

Having the visitor step outside the room

A child undergoes tonsillectomy and adenoidectomy for numerous recurrent respiratory tract infections. After the surgery, which education would the nurse provide the parents?

Offer crushed ice chips

Which nursing intervention would prevent septic shock in the hospitalized client?

Use aseptic techniques during all invasive procedures.

Which action do the employees of a hospital with an organizational goal to participate in emergency management of disasters need to do before being recognized by the National Incident Management System (NIMS)?

Attend training on the incident command system

A newly pregnant client reports that she is taking isotretinoin. Which statement applies to the care of this client?

Isotretinoin is teratogenic and is associated with major fetal malformations, so the client should stop the medication immediately.

Which rationale would lead the nurse to question an order for a tap water enema for a 6-month-old infant with suspected Hirschsprung disease?

It could cause a fluid and electrolyte imbalance

A client who has syphilis tells the nurse that it must have been contracted from a toilet seat. The nurse knows that this cannot be true because of which property of the causative agent of syphilis?

It is inactivated when exposed to a dry environment.

Which assessment finding for a 4-hour-old newborn would be most concerning for the nurse?

Paradoxical respiration

Which parental statement would the nurse recognize as indicative of understanding strategies to prevent burn injuries in toddlers?

"I have placed furniture in front of the electrical outlets"

Which intervention would the nurse recommend to the parents of a latchkey child?

Emphasize the positive aspects of independence and resourcefulness.

Which action would the nurse take to prevent the loss of heat through convection in a newborn?

Keep the infant's crib away from the window.

A client experienced a tonic-clonic seizure. Which nursing intervention is the priority during the tonic-clonic stage of the seizure.

Protect the client from injury.

Which factor can be used to determine the source of infection in a client who tests positive for Giardia lamblia? Select all that apply. One, some, or all responses may be correct.

Recent Camping Trips

Which client would be treated immediately according to the disaster triage tag system?

Red Client

Which characteristics describe a second order change in a disaster? Select all that apply. One, some, or all responses may be correct.

Revolutionary and episodic change Change requiring radical adjustments in a person or in the structure of the system

Which parental statement would the nurse recognize as indicating an understanding of caring for an infant prescribed an orthotic helmet?

"I will inspect my baby's scalp for skin irritation."

Which client statement confirms that the client who is being treated for a sexually transmitted infection (STI) has understood the nurse's instruction regarding future sexual contacts?

"I won't have unprotected sex again, and I'll tell my partners to be tested for STIs."

A sexually active female client is upset with her diagnosis of gonorrhea and asks the nurse, "What can I do to prevent getting another infection like this?" Which practical response would the nurse provide?

"Insist that your partner use a condom"

Which response would the nurse have when parents express concern that their toddler loves to play dress-up with jewelry?

"Jewelry poses a choking risk to your child."

Which parental statement would concern the nurse during a toddler's wellness visit?

"My child loves to eat popcorn."

Which percentage of all cervical cancers occurs during pregnancy?

3%

Which client would be triaged under emergency severity index (ESI)-1 based on threat to life and stability of vital functions?

Cardiac Arrest

Which basic professional certification is most desirable in the nurse who wants to join a team sent to care for earthquake victims?

Certification in Emergency Care

Applying the emergency severity index (ESI) criteria, which client condition is considered least severe?

Closed extremity trauma

Which items would the nurse need when caring for a client undergoing treatment from an internal radiation implant that has become dislodged?

Lead-lined container Long-handled forceps

Which covering would the nurse use over the exposed area of an infant admitted with exstrophy of the bladder?

Moist sterile dressing

Which action will the nurse take to support safe oral intake after tracheostomy?

Position client as upright as possible

After an above-the-knee amputation for bone cancer, an adolescent boy is returned to his room. He is monitored closely because of the potential for hemorrhage from the residual limb. Which would the nurse plan to keep at the bedside?

Pressure dressing

Which consideration is most important when formulating a plan of care for a child undergoing chemotherapy?

Preventing infection

Which nursing intervention is the priority when the nurse notices that the client has a blood pressure of 90/70 mm Hg and a heart rate if 50 beats per minute while the nurse is performing nasotracheal suctioning?

Stopping the suctioning procedure immediately