A nurse is reinforcing teaching with a group of first-time parents about injury prevention for infants.
Which of the following information should the nurse include?
Obtain a crib with adjustable rails.
Provide a walker with wheels to promote mobility.
Use one-piece pacifiers with a loop handle.
Place a plastic covering underneath crib sheets.
The Correct Answer is C
Choice A rationale
Adjustable crib rails pose a risk of mechanical failure and potential injury to infants. Current safety guidelines recommend fixed rails to eliminate entrapment hazards, ensuring the crib complies with modern safety standards.
Choice B rationale
Walkers with wheels are linked to a higher risk of falls and injuries in infants. These devices can inadvertently promote mobility before adequate muscle development, leading to instability and accidents. They are not recommended for injury prevention.
Choice C rationale
One-piece pacifiers with loop handles minimize choking risks by eliminating small parts that could detach. The loop handle ensures the pacifier can be easily retrieved, reducing the likelihood of airway obstruction in infants.
Choice D rationale
Placing a plastic covering underneath crib sheets increases the risk of suffocation and overheating. Safe sleep guidelines advocate for firm mattresses with fitted sheets only, avoiding any additional layers that compromise an infant's breathing environment. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Prolonged crying is commonly associated with the discomfort of the injection but does not indicate an acute allergic reaction. It generally subsides with comfort measures and is not a priority finding.
Choice B rationale
Redness at the injection site is a localized inflammatory response, expected after immunization, and it does not suggest a systemic reaction.
Choice C rationale
Hives on the neck may indicate an allergic reaction, potentially leading to anaphylaxis. This immune response warrants immediate intervention to prevent airway obstruction or systemic complications.
Choice D rationale
A temperature of 37.7°C (99.9°F) is a mild fever, a normal post-immunization reaction, reflecting the body's immune response to the vaccine rather than an urgent concern.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
A nasopharyngeal specimen is crucial for confirming RSV infection. This test detects viral antigens or RNA through assays like immunofluorescence or polymerase chain reaction. Such diagnostic accuracy guides treatment decisions and minimizes misdiagnosis.
Choice B rationale
Sterile suctioning clears nasal secretions, improving airway patency and oxygenation. This intervention is especially necessary before feeding to prevent aspiration, which can exacerbate respiratory distress. Suctioning supports effective feeding by maintaining a clear nasal passage.
Choice C rationale
Nebulized albuterol sulfate is primarily indicated for bronchospasm related to conditions like asthma. While RSV can cause wheezing, bronchodilators are not typically effective for viral-induced airway inflammation and are not a standard treatment for RSV.
Choice D rationale
Administering oxygen to maintain SaO2 above 90% is essential for managing hypoxemia in RSV cases. Oxygen therapy ensures adequate tissue oxygenation, preventing complications like respiratory failure. This is a cornerstone of supportive care for RSV.
Choice E rationale
Chest percussion and drainage are not standard RSV treatments. This intervention targets mucus mobilization in chronic or bacterial respiratory conditions. RSV management focuses on supportive measures like suctioning and hydration rather than percussion.
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