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A nurse is providing teaching about car seat use to the mother of a 6 month old infant. Which of the following statements by the mother indicates an understanding of the teaching? I should secure the car seat using lower anchors and tethers instead of the seatbelt i should position the car seat harness 1 inch above my baby' s shoulders I will make sure that the car seat is placed at a 90 degree angle i will pad my baby's car seat with a blanket for traveling long distances
"I should secure the car seat using lower anchors and tethers instead of the seat belt." *Lower anchors and tethers, or the LATCH child safety seat system, should be used to secure an infant's car seat in the vehicle. This system provides anchors between the front cushion and the back-rest for the car seat. Therefore, if this system is available, the seatbelt does not have to be used.
The nurse is caring for a school age child who has peripheral edema. Which of the following assessments should the nurse preform to confirm peripheral edema? 1. Palpate the dorsum of the child's feet. 2. Weight the child daily using the same scale 3. Assess the child's skin turgor 4. Observe the child for periorbital swelling
1. Palpate the dorsum of the child's feet.
A nurse in an emergency department is caring for an adolescent who reports painful urination.. Which of the following behaviors should the nurse identify as suggestive of possible child maltreatment? 1. Reluctance to leave home. 2. Uses mood elevating substances 3. Overachieving in school 4. Demonstrates strong relationships with peers
2. Uses mood elevating substances
A nurse is providing discharge teaching to the parents of a 3 month old infant following a cheiloplasty. Which of the following instructions shoule the nurse include? 1. Clean your baby's sutures daily with a mixture of chlorhexidine and water. 2. Expect your baby to swallow more than usual over the next few days. 3. Inspect your baby's tongue for white patches using a tongue depressor every 8 hours. 4. Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 day.s
4. Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 day.s
A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan? position the infant side lying with her head at a 0 to 5 degree angle monitor the infant for tachycardia to prevent brainstem herniation suction the infant's nares every 2 hours while awake to maintain patency implement seizure precautions for the infant
Implement seizure precautions for the infant. *The nurse should implement seizure precautions for an infant who has an epidural hematoma as a safety measure.
A nurse is caring for a school age child who has primary nephrotic syndrome and is taking prednisone. Following 1 week of treatment, which of the following clinical manifestations indicates to the nurse that the medication is effective? 1. Decreased edema 2. Increased abdominal girth 3. Decreased appetite 4. Increased protein in the urine
1. Decreased edema
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?
schedule the toddler for a yearly screening
