A nurse is reinforcing education to a caregiver of a pediatric client about disease prevention related to thermal injuries. Which of the following statements should the nurse make?

"Lack of supervision is a big risk factor for burns children."

“Microwaved food should sit for 30 seconds before giving to the child."

"Young children should be kept indoors at all times to prevent sunburns,"

"The water heater should be set at 130 degrees Fahrenheit or less."

Answer and Explanation

The Correct Answer is A

A. "Lack of supervision is a big risk factor for burns in children." This is correct. Young children are naturally curious and have limited awareness of danger, making them more prone to thermal injuries. Inadequate supervision increases the risk of burns from hot liquids, open flames, electrical sources, and heated objects.

B. "Microwaved food should sit for 30 seconds before giving to the child." While allowing food to cool is helpful, 30 seconds may not be enough time to reduce the risk of burns. Additionally, caregivers should stir microwaved food thoroughly to distribute heat evenly and test the temperature before feeding the child.

C. "Young children should be kept indoors at all times to prevent sunburns." This is unrealistic and unnecessary. Instead, caregivers should use protective measures such as sunscreen, hats, protective clothing, and shade to prevent sunburn while allowing outdoor activities.

D. "The water heater should be set at 130 degrees Fahrenheit or less." This is incorrect. The recommended maximum water heater temperature is 120°F (49°C) to prevent scald burns. Water at 130°F can cause serious burns within seconds, making it too high for safety.

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Correct Answer is C

Explanation

A. Print out a copy of the asthma action plan and thoroughly review it with the child and the school nurse prior to discharge. While an asthma action plan is essential, it is not sufficient if the parent is not actively engaged. The parent also needs education and support to properly manage the child's condition at home.

B. Write out a detailed schedule of the child's medications and a list of their healthcare providers’ addresses and phone numbers in case they should need it. Providing a medication schedule is helpful, but it does not address the root issue—parental disengagement. Simply handing out information does not ensure the parent understands or feels empowered to manage the child's asthma.

C. Empower the child's parent to help manage the asthma by offering comprehensive education on the condition, treatment plan, and managing potential complications at home. Parental education and engagement are crucial for managing uncontrolled asthma. Offering clear explanations, demonstrating medication use (such as inhalers and spacers), and discussing signs of worsening asthma can help the parent feel more confident and involved in their child’s care.

D. Contact child protective services to intervene in the family since the child's parent does not seem adequately prepared to manage the client's illness at home. CPS involvement is not appropriate unless there are signs of medical neglect (e.g., refusal to seek care, persistent non-adherence). In this case, the best first step is education and support to encourage parental involvement.

A. Schedule the child for a follow-up blood test to monitor lead levels over the coming weeks. B. Provide supportive care to manage common symptoms of nausea and pain. C. Promote a balanced diet rich in calcium and iron to help mitigate the lead absorption. D. Notify the health department to investigate potential lead exposure sources.

Correct Answer is B

Explanation

A. Schedule the child for a follow-up blood test to monitor lead levels over the coming weeks. While ongoing monitoring is important, it is not the immediate priority in a child with extreme lead poisoning. Immediate intervention is needed to manage acute symptoms and prevent further complications.

B. Provide supportive care to manage common symptoms of nausea and pain. This is the correct first action. Severe lead poisoning can cause neurological and gastrointestinal symptoms, including abdominal pain, vomiting, and irritability. Supportive care addresses these symptoms while preparing for further interventions like chelation therapy.

C. Promote a balanced diet rich in calcium and iron to help mitigate lead absorption. Nutritional support is beneficial in mild to moderate cases, as calcium and iron reduce lead absorption, but it is not the first priority in extreme poisoning. Immediate medical treatment takes precedence.

D. Notify the health department to investigate potential lead exposure sources. Identifying the source of lead exposure is crucial for long-term prevention, but in cases of severe poisoning, immediate medical care is the priority before environmental interventions.

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A nurse is reinforcing education to a caregiver of a pediatric client about disease prevention related to thermal injuries. Which of the following statements should the nurse make?

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Correct Answer is C

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