A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

Lengthen the harness straps weekly.

Position the diaper over the straps with each change.

Massage the skin under the straps daily.

Apply lotion to the skin beneath the straps twice daily.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C

Choice A rationale: Lengthening the harness straps weekly can interfere with proper hip positioning and the effectiveness of the Pavlik harness. The straps should be adjusted only by a healthcare professional to ensure correct alignment and fit.

Choice B rationale: Positioning the diaper over the straps can lead to improper harness function and hygiene issues. The diaper should be placed under the straps to maintain the harness's positioning and effectiveness, reducing the risk of skin irritation.

Choice C rationale: Massaging the skin under the straps daily helps to promote circulation and prevent skin breakdown. Regular skin checks and massages can also help to identify any early signs of irritation or pressure sores, ensuring infant comfort and safety.

Choice D rationale: Applying lotion to the skin beneath the straps twice daily can increase the risk of skin irritation and breakdown due to moisture accumulation. It is better to keep the skin clean and dry, with occasional massages to maintain skin integrity

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

The first voided specimen is discarded to ensure that the 24-hour urine collection starts with an empty bladder and accurately reflects the urine produced over the entire period.

Choice B rationale

Voiding every hour is not necessary and may not be practical for a 24-hour urine collection.

Choice C rationale

The final specimen should be included in the same container as the rest of the 24-hour urine collection.

Choice D rationale

Cleansing the perineum with a povidone-iodine solution is not required for a 24-hour urine collection.

A. Odorless urine. B. Temperature 37.2°C (99°F). C. No report of pain with voiding. D. Clear urine.

Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale

Odorless urine is not a specific indicator of effective treatment for acute poststreptococcal glomerulonephritis (APSGN)16.

Choice B rationale

A temperature of 37.2°C (99°F) is within the normal range and does not specifically indicate effective treatment for APSGN16.

Choice C rationale

No report of pain with voiding is not a specific indicator of effective treatment for APSGN16.

Choice D rationale

Clear urine indicates that the hematuria (blood in urine) has resolved, which is a sign of effective treatment for APSGN1617.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instructions about a 24-hour urine collection to an adolescent client. Which of the following should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?

Correct Answer is D

Explanation

A nurse is assessing a child who has measles.Which of the following areas should the nurse inspect for Koplik spots?

A nurse is preparing to assess a 4-year-old child’s visual acuity. Which of the following actions should the nurse plan to take?

A nurse is caring for a 15-year-old adolescent who is admitted with a vaso-occlusive crisis in the emergency department. Exhibits Select the 5 interventions the nurse should include.

A nurse is teaching a group of parents about childhood immunizations.The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

A nurse is providing education to a client.Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?

A nurse in the emergency department is caring for a toddler. Exhibits Complete the following sentence by using the list of options. The nurse should first:

A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization.The adolescent’s guardian states, “I don’t understand why they need to do this procedure.”. Which of the following actions should the nurse take?

A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?