A newborn infant diagnosed with developmental dysplasia of the hip must wear a Pavlik harness 23 hours a day. Which behavior by the mother best indicates that discharge teaching was effective?

The mother reports that she has no questions about the care of the harness.

The nurse observes the mother removing and replacing the Pavlike harness.

The nurse demonstrates removing the harness and the mother watches closely.

The mother describes problems that may occur while using the harness.

Answer and Explanation

The Correct Answer is B

Rationale:

A. The mother reports that she has no questions about the care of the harness: Verbalizing no questions does not guarantee understanding or ability to perform proper care. Effective teaching requires demonstration and return demonstration to confirm competence.

B. The nurse observes the mother removing and replacing the Pavlik harness: Observing the mother correctly remove and replace the harness demonstrates that she has learned and can safely manage the device, indicating that discharge teaching was effective.

C. The nurse demonstrates removing the harness and the mother watches closely: Watching the nurse demonstrates the process but does not confirm that the mother can perform the task independently, so it is not a reliable indicator of teaching effectiveness.

D. The mother describes problems that may occur while using the harness: Understanding potential problems is important, but describing them verbally does not confirm that the mother can safely apply and remove the harness, which is essential for proper care.

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Correct Answer is D

Explanation

Rationale:

A. Obtain a booster for all immunizations as soon as possible: While immunizations are important, live vaccines may be contraindicated in children with AIDS depending on their immune status. Boosters should be given only under the guidance of a healthcare provider.

B. Obtain an injection of penicillin G 1000 units weekly: Routine prophylactic penicillin is not indicated for children with AIDS unless there is a specific underlying condition such as sickle cell disease.

C. Keep the child away from other children and begin a home school program: Isolation from peers is unnecessary and can negatively impact social and emotional development. Standard precautions and avoiding exposure to infectious illnesses are more appropriate.

D. Avoid exposure to chickenpox: Children with AIDS are immunocompromised and at high risk for severe complications from varicella infection. Teaching the family to avoid exposure to chickenpox and other infectious diseases is essential to protect the child’s health.

A. Apply zinc oxide to perineum with each diaper change. B. Auscultate the lungs for respiratory pneumonia. C. Change to latex-free gloves when handling infant. D. Draw blood to analyze for streptococcal infection.

Correct Answer is C

Explanation

Rationale:

A. Apply zinc oxide to perineum with each diaper change: Zinc oxide can help treat diaper rash and protect skin integrity, but it does not address the systemic allergic reaction symptoms such as sneezing, urticaria, or watery eyes.

B. Auscultate the lungs for respiratory pneumonia: Lung assessment is important in children with chronic conditions, but the symptoms described (sneezing, urticaria, watery eyes, and rash) indicate an allergic reaction rather than a respiratory infection.

C. Change to latex-free gloves when handling infant: The symptoms are indicative of a latex allergy, which is common in children with myelomeningocele who have frequent catheterizations and medical device exposure. Switching to latex-free gloves is the most important intervention to prevent further allergic reactions and potential anaphylaxis.

D. Draw blood to analyze for streptococcal infection: Streptococcal infections typically present with fever, sore throat, or systemic illness. The child’s symptoms are consistent with an allergic reaction rather than infection, so immediate lab testing for strep is not the priority.

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A newborn infant diagnosed with developmental dysplasia of the hip must wear a Pavlik harness 23 hours a day. Which behavior by the mother best indicates that discharge teaching was effective?

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Naxlex Comprehensive Predictor Exams

The nurse is developing a teaching plan for a school-aged child with AIDS. Which instruction should the nurse include in the teaching plan for the family of a school-aged child with AIDS?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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A newborn infant diagnosed with developmental dysplasia of the hip must wear a Pavlik harness 23 hours a day. Which behavior by the mother best indicates that discharge teaching was effective?