A nurse has completed a teaching session for parents about “baby/child-proofing” the home. Which statements made by the parents indicate an understanding of the teaching (Select All That Apply)?

“We will keep our household hot water heater at 130 degrees.”

“We will place poisonous substances in a high cupboard.”

“We will place a gate at the top and bottom of stairways.”

“We will put plastic fillers in all electrical plugs.”

“We will turn handles of pans on the stove toward the back of the stove.”

Answer and Explanation

Correct Answer : B,C,D,E

A. “We will keep our household hot water heater at 130 degrees.”

The recommended setting for a hot water heater is typically 120 degrees Fahrenheit to prevent scalds. Setting it at 130 degrees may still pose a risk of burns to young children.

B. “We will place poisonous substances in a high cupboard.”

Placing poisonous substances out of reach in a high cupboard is a safety measure to prevent children from accessing potentially harmful substances.

C. “We will place a gate at the top and bottom of stairways.”

Using safety gates at the top and bottom of stairways is an effective way to prevent young children from falling down stairs.

D. “We will put plastic fillers in all electrical plugs.”

Placing plastic fillers in electrical plugs helps prevent children from inserting objects into outlets, reducing the risk of electric shock.

E. “We will turn handles of pans on the stove toward the back of the stove.”

Turning handles of pans on the stove toward the back is a safety measure to prevent young children from reaching up and pulling hot items off the stove.

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Correct Answer is ["1.75"]

Explanation

To administer the correct dose of ampicillin IM, the nurse needs to calculate the amount of solution to draw up from the vial.

The vial contains 1 g of ampicillin in 5 mL of solution, which means that each mL has 200 mg of ampicillin.

To get 350 mg of ampicillin, the nurse needs to divide 350 by 200, which gives 1.75.

Therefore, the nurse needs to draw up 1.75 mL of solution for an IM injection.

A. high sodium chloride concentration in the sweat. B. chronic lack of oxygen. C. decreased respiratory capacity. D. impaired digestive activity.

Correct Answer is B

Explanation

A.While cystic fibrosis is characterized by a high concentration of sodium chloride in sweat due to defective chloride channels, this is not the cause of the barrel chest and clubbing of the fingers.

B.The barrel chest and clubbing of the fingers are often seen in children with cystic fibrosis due to chronic hypoxia (lack of oxygen). Chronic lung infections, airway obstruction, and respiratory insufficiency associated with cystic fibrosis lead to prolonged low oxygen levels, which can result in these physical changes.

C.Decreased respiratory capacity, often due to the chronic respiratory issues associated with cystic fibrosis, can result in a barrel chest (increased chest diameter due to air trapping) and clubbing of the fingers (a sign of chronic hypoxia).

D.Decreased respiratory capacity (due to thick mucus and airway obstruction) does contribute to chronic respiratory issues in cystic fibrosis, but the direct cause of the barrel chest and clubbing is the chronic lack of oxygen (hypoxia) rather than decreased capacity alone. The changes in the chest and fingers are a result of prolonged oxygen deprivation.

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A nurse has completed a teaching session for parents about “baby/child-proofing” the home. Which statements made by the parents indicate an understanding of the teaching (Select All That Apply)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician has ordered 350 mg of ampicillin IM. The ampicillin is available as 1 g/5 mL. How many mLs does the nurse need to draw up for an IM injection?

Correct Answer is ["1.75"]

Explanation

The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be:

Correct Answer is B

Explanation

The client voided twice on your shift (600 mL, 350 mL) and drank half of his 900mL water pitcher plus a 12 oz soft drink during the night. There was 50 mL drainage from the hemovac during the night. Calculate the patient’s total I/O starting at 2300 and ending at 0700.

The nurse is caring for a toddler with acute laryngotracheobronchitis. Which action aids in bronchodilation to improve breathing for this child?

The nurse instructs a mother on actions to prevent sibling rivalry between a toddler and a newborn. Which observation indicates that instruction has been effective?

A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which of the following medications would the nurse anticipate the physician might prescribe?

The nurse is caring for an infant who has impetigo and is hospitalized. Which nursing intervention is the highest priority for this child?

A nurse is preparing a presentation for a group of nurses about human immunodeficiency virus infection. Which of the following would the nurse include as the major means of transmission responsible for almost all new HIV infections in the infant population?

Order: Ceftriaxone 300 mg IV Q12H for a 6 month old infant with a serious infection who weighs 18 lbs. The recommended dosage is 50-75 mg/kg/day in divided doses BID. Prove mathematically (mg/kg/day) the ordered dose and is it safe to give Safe/Unsafe)?

The nurse is assessing a child with acute epiglottitis. Examining the child’s throat by using a tongue depressor might precipitate which symptom or condition?