A nurse is providing teaching about aspiration precautions to a class of guardians who have toddlers. Which of the following foods should the nurse recommend?
Banana slices
Popcorn
Hot dogs
Seeded grapes
The Correct Answer is A
A. Banana slices: Soft, ripe bananas are easy for toddlers to chew and swallow, making them a safe option that minimizes the risk of choking and aspiration. Cutting the fruit into small, manageable pieces further reduces the risk and aligns with recommended feeding practices for young children.
B. Popcorn: Popcorn is a high-risk food for toddlers due to its small, hard, and irregular pieces that can easily lodge in the airway. It should be avoided in young children to prevent choking and aspiration hazards.
C. Hot dogs: Whole or large pieces of hot dogs are a major choking risk for toddlers because they are firm, slippery, and can block the airway. If served, they should be cut into very small, lengthwise pieces, but they are generally not recommended for very young children.
D. Seeded grapes: Grapes with seeds are hard and round, posing a significant aspiration risk for toddlers. Seeds increase the likelihood of airway obstruction, making this food unsafe for young children without proper modification.
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Related Questions
Correct Answer is B
Explanation
A. Influenza immunizations: Administering vaccines is a primary level of prevention because it aims to prevent the onset of disease before exposure occurs. This activity reduces the risk of infection in healthy individuals.
B. Tuberculosis screenings: Screening for tuberculosis is a secondary prevention activity because it involves early detection of disease in asymptomatic individuals. Identifying TB early allows for prompt treatment to prevent progression and transmission.
C. Presentations about safer sex practices: Educational programs promoting safer behaviors are primary prevention because they aim to reduce risk factors and prevent disease before it occurs.
D. Evaluations of bloodborne pathogen policies: Evaluating workplace policies is a tertiary prevention strategy if it focuses on managing and controlling the impact of existing disease or exposure. It does not directly detect or prevent disease in healthy individuals.
Correct Answer is C
Explanation
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10: While chest pain is concerning, a pain level of 4 is moderate, and the client is hemodynamically stable. This client requires timely assessment but does not present the most immediate threat to life.
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3°C (101°F): The client has an infection that requires monitoring and treatment, but the fever alone does not indicate an immediate life-threatening condition. Assessment and intervention are important but not emergent.
C. A 60-year-old client who has COPD, is receiving O₂ 2 L/min via a nasal cannula, and has an oxygen saturation of 89%: Hypoxemia is an immediate threat to life. An oxygen saturation below 90% in a client with COPD requires prompt assessment and intervention to prevent respiratory failure, making this the highest priority.
D. A 26-year-old female client who has pelvic inflammatory disease and is unable to void: Urinary retention is uncomfortable and can lead to complications, but it is not immediately life-threatening. This client can be assessed after addressing the client with hypoxemia.
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