A nurse is reviewing safety measures with a group of parents to prevent burn injuries specifically from hot water in toddlers. Which of the following safety measures should the nurse include in the teaching?
Keep electrical wires hidden from view.
Turn pot handles toward the back of the stove.
Encourage outdoor activities outside the hours of 11:00 and 13:00.
Set the water heater to 49°C (120°F).
The Correct Answer is D
Choice A reason:
This option addresses electrical safety, which is important for preventing shocks and strangulation hazards in toddlers. However, it does not directly prevent burn injuries from hot water, which is the focus of the question. While hiding wires reduces overall household risks, it does not mitigate scalding hazards. Therefore, this choice is not the correct answer in the context of hot water burn prevention.
Choice B reason:
Turning pot handles toward the back of the stove is a well-known safety measure to prevent toddlers from pulling down hot pots and pans. This reduces the risk of scalds and burns in the kitchen environment. However, the question specifically emphasizes hot water burns, which are more commonly caused by tap water and bathing accidents. Thus, while helpful, this measure does not directly address the hazard highlighted in the scenario.
Choice C reason:
Encouraging outdoor play outside peak sun hours is a measure aimed at reducing sunburn and heat exposure. Sunburn is technically a type of burn, but it is not related to hot water scalds. The question focuses on preventing injuries from household hot water sources, making this option less relevant. While beneficial for overall child safety, it does not answer the specific teaching point.
Choice D reason:
Setting the water heater to 49°C (120°F) is the most effective intervention to prevent scald injuries from hot water in toddlers. Toddlers are at high risk of burns during bathing or when exposed to hot tap water. Lowering the water heater temperature reduces the severity of burns if accidental exposure occurs. This measure directly addresses the hazard in the question, making it the correct answer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Assessing the child's pulse and respirations can indicate pain through physiological changes, but these signs can be influenced by other factors and may not provide an accurate measure of pain intensity.
Choice B reason: Observing the child's facial expressions can give some indication of pain, but it is subjective and may not accurately reflect the child's pain experience, especially if the child is trying to hide their discomfort.
Choice C reason: Asking the child to use a FACES rating scale allows the child to actively participate in communicating their pain level. This method is age-appropriate and provides a visual way for children to express the intensity of their pain, making it a reliable assessment technique.
Choice D reason: Monitoring the child's involuntary movements can provide clues about pain, but like facial expressions, they are subjective and may not accurately quantify the child's pain level.
Correct Answer is C
Explanation
Choice A reason: Using a bulb syringe to suction the nares is a common practice for clearing nasal passages in infants, but it is not the primary concern for an infant with a tracheostomy, which requires specific care to maintain airway patency.
Choice B reason: Providing antibiotic therapy may be necessary if there is an infection, but it is not a standard care action for a tracheostomy without evidence of infection.
Choice C reason: Administering intermittent suction via the tracheostomy is essential to clear secretions and maintain airway patency, which is the greatest risk for an infant with a tracheostomy.
Choice D reason: Placing an infant in a prone position to sleep is not recommended due to the increased risk of sudden infant death syndrome (SIDS). Infants should be placed on their backs to sleep.
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