A nurse is preparing to perform a venipuncture to collect a blood sample from an infant.
Which of the following restraints should the nurse plan to use for this procedure?
Jacket
Mitten
Mummy
Elbow
The Correct Answer is C
Choice A rationale
Jacket restraints are typically used to secure a child’s arms during procedures. They are not specifically designed for venipuncture in infants.
Choice D rationale
Elbow restraints are used to secure the child’s elbows, often during procedures involving the upper body. They are not typically used for venipuncture.
Choice B rationale
Mitten restraints are used to prevent the child from scratching or removing tubes. They are not typically used for venipuncture.
Choice C rationale
Mummy restraints are often used for infants during procedures like venipuncture. They allow the child to be wrapped securely while leaving one area exposed for the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Performing the examination once every other month is not the recommended frequency. It is generally recommended that males perform a testicular self-examination monthly.
Choice B rationale
Notifying your provider if your testes are firm and egg-shaped may not be necessary, as this is generally considered a normal characteristic of testes. However, any changes in size, shape, or consistency should be reported.
Choice C rationale
Waiting a month after feeling a hard lump is not recommended. If a hard lump is detected during a self-
examination, it should be reported to a healthcare provider immediately, as it could be a sign of testicular cancer.
Choice D rationale
Performing the examination following a warm shower is recommended. The warmth relaxes the scrotum, making it easier to examine the testicles.
Correct Answer is A
Explanation
The correct answer is A. Antibiotics initiated 24 hr ago.
Explanation:
Children with bacterial meningitis require droplet precautions to prevent the spread of infection. These precautions can typically be discontinued after 24 hours of effective antibiotic therapy, as the risk of transmission significantly decreases.
Why the other options are incorrect:
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B. Negative cerebrospinal fluid (CSF) culture – While a negative CSF culture confirms the absence of bacteria, cultures may take several days to process. Droplet precautions are usually lifted based on treatment duration, not pending lab results.
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C. Absent nuchal rigidity – Nuchal rigidity (stiff neck) is a symptom of meningitis, but its resolution does not determine infectious risk.
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D. Temperature below 37.4°C (99.4°F) – Fever reduction is a sign of improvement but does not indicate that the infection is no longer transmissible.
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