A nurse discusses poison prevention with a caregiver of a 2 1/2-year-old child. Which statement by this caregiver indicates a need for further education?

"I will not take medications in front of my child.”.

"I will keep all my medications in my purse.”.

"We will safety-proof the grandparents' house.”.

"We will put locks on all of our cabinet doors at home.".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

The statement "I will not take medications in front of my child”. is correct. Caregivers should avoid taking medications in front of children to prevent them from mimicking the behavior, as some medications can be harmful if ingested accidentally.

Choice B rationale:

The statement "I will keep all my medications in my purse”. is incorrect. Keeping medications in a purse or easily accessible place poses a risk of accidental ingestion by the child. Medications should be stored out of reach and in child-resistant containers.

Choice C rationale:

The statement "We will safety-proof the grandparents' house”. is correct. Safety-proofing the environment is important to prevent accidental poisoning. This statement demonstrates caregiver awareness of potential risks in another household.

Choice D rationale:

The statement "We will put locks on all of our cabinet doors at home”. is correct. Locking cabinet doors is a preventive measure to keep children away from potentially harmful substances, showcasing the caregiver's understanding of safety precautions.

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Correct Answer is B

Explanation

Choice A rationale:

Polyarthritis is a manifestation of rheumatic fever, but it is not the primary manifestation. The main manifestation is carditis, involving inflammation of the heart's valves and structures.

Choice B rationale:

Carditis is a hallmark manifestation of rheumatic fever. It involves inflammation of the heart's valves and structures, leading to murmurs and potential long-term cardiac damage.

Choice C rationale:

Janeway lesions are not associated with rheumatic fever. They are painless, small erythematous or hemorrhagic macules on the palms and soles, typically seen in infective endocarditis.

Choice D rationale:

Subcutaneous nodules are not a primary manifestation of rheumatic fever. These nodules, which are firm and nontender, may develop over bony prominences in cases of severe rheumatic fever.

Choice E rationale:

Cervical lymphadenopathy is not a characteristic manifestation of rheumatic fever. This type of lymphadenopathy is more commonly seen in infections or lymphatic malignancies.

A. Obtaining an order to have an indwelling urinary catheter inserted. B. Weighing the patient's wet diapers prior to discarding them. C. Sitting the patient on the bedpan at least every two hours. D. Applying a pediatric urine collection device over the patient's urinary meatus.

Correct Answer is B

Explanation

Weighing the patient's wet diapers prior to discarding them.

Choice A rationale:

Inserting an indwelling urinary catheter is invasive and not appropriate for a non-toilet-trained 2-year-old unless medically necessary.

Choice B rationale:

Weighing wet diapers is the most accurate way to measure urine output in a young child who isn't toilet trained. This method provides essential information for assessing hydration and kidney function.

Choice C rationale:

Sitting the patient on the bedpan every two hours is suitable for older children but may not be effective or tolerable for a 2-year-old.

Choice D rationale:

Applying a pediatric urine collection device is an option, but it might not be as accurate as weighing wet diapers and may cause discomfort for the child.

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A nurse discusses poison prevention with a caregiver of a 2 1/2-year-old child. Which statement by this caregiver indicates a need for further education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse would expect a client with rheumatic fever to have which manifestations on assessment?

Correct Answer is B

Explanation

The nurse is to record the intake and output of a 2-year-old patient. The patient is not toilet trained. Which measure would be most appropriate to include in the patient's plan of care?

Correct Answer is B

Explanation

A patient newly diagnosed with insulin-dependent diabetes mellitus comes to the clinic one month after diagnosis. The mother tells the nurse, "My child is getting better. The glucose levels are almost normal and my child requires less insulin.". What is the most appropriate response by the nurse?

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