A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statements should the nurse make?

"Place your baby in a side-lying position when sleeping."

"Use a drop-side crib until your baby is at least 6 months old."

"Apply a plastic mattress cover to your baby's bed to protect it."

“Keep your infant restrained when they are in a highchair."

Answer and Explanation

The Correct Answer is D

A. "Place your baby in a side-lying position when sleeping." The recommended sleep position for infants is on their back to reduce the risk of sudden infant death syndrome (SIDS).
B. "Use a drop-side crib until your baby is at least 6 months old." Drop-side cribs are not recommended due to the risk of injury or suffocation; they have been banned in many regions.
C. "Apply a plastic mattress cover to your baby's bed to protect it." Plastic mattress covers increase the risk of suffocation and are not recommended.
D. "Keep your infant restrained when they are in a highchair." Proper restraints prevent falls or injuries when the infant is seated in a highchair.

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Correct Answer is A

Explanation

A. "Maintain aseptic technique during the child's dressing changes." Aseptic technique reduces the risk of infection, which is critical for children with burns as their immune response may be compromised.
B. "Provide low-calorie snacks for the child several times each day." Children with burns require a high-calorie, high-protein diet to promote healing and compensate for increased metabolic demands.
C. "Apply continuous passive motion devices to the child's lower extremities during periods of rest." Passive motion devices are not typically indicated for burn injuries unless there is joint involvement requiring physical therapy for mobility restoration.
D. "Administer pain medication to the child 30 min following physical therapy." Pain medication should be administered before physical therapy to improve tolerance and participation.

A. Assess for changes in level of consciousness. B. Administer factor VIII. C. Perform passive range of motion hourly. D. Administer factor IX. E. Apply a warming blanket over the child.

Correct Answer is ["A","B"]

Explanation

A. Assess for changes in level of consciousness. Abdominal trauma can lead to internal bleeding, which might increase intracranial pressure if bleeding occurs in the brain. Monitoring for neurological changes is essential.
B. Administer factor VIII. Hemophilia A results from factor VIII deficiency, and replacing it prevents further bleeding.
C. Perform passive range of motion hourly. Movement may exacerbate bleeding into the joints or injured tissues. Rest is essential during acute bleeding episodes.
D. Administer factor IX. Factor IX is used for hemophilia B, not hemophilia A.
E. Apply a warming blanket over the child. Hypothermia management may be necessary in some trauma cases, but there is no indication it is needed here based on the scenario provided.

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A nurse is providing discharge teaching to a group of guardians of infants about home safety. Which of the following statements should the nurse make?

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