A nurse is teaching a client who is postpartum about home safety for her newborn. Which of the following Instructions should the nurse include?

Set the hot water heater to 52° C (125° F).

Place the playpen near a heat vent during cold weather.

Position the crib away from the cords of blinds and drapes.

After feeding, place the newborn on his stomach.

Answer and Explanation

The Correct Answer is C

A. Set the hot water heater to 52° C (125° F): This temperature is too high and increases the risk of scalding. The recommended setting for home water heaters is below 49° C (120° F) to prevent burns in infants and young children.

B. Place the playpen near a heat vent during cold weather: Placing the playpen near a heat vent can expose the infant to burns or overheating. It's important to maintain a safe distance from direct heat sources.

C. Position the crib away from the cords of blinds and drapes: This helps prevent strangulation hazards. Crib placement away from window cords and drapes is essential for newborn safety.

D. After feeding, place the newborn on his stomach: Placing a newborn on the stomach increases the risk of sudden infant death syndrome (SIDS). The correct position is on the back for sleep.

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Correct Answer is B,D,C,A

Explanation

Progressive discipline begins with a verbal warning to make the employee aware of performance concerns. If the behavior persists, the next step is a written reprimand outlining expectations and deadlines for improvement. Continued issues lead to a suspension, which serves as a final warning. If no improvement occurs, termination of employment is the final step.

A. Secure the catheter to the client's thigh. B. Obtain urinary samples by disconnecting the tubing connections. C. Loop the tubing so that it is lower than the collection bag. D. Keep the urinary bag at bladder level when ambulating.

Correct Answer is A

Explanation

A. Secure the catheter to the client's thigh: Securing the catheter prevents unnecessary movement and traction at the urethral site, reducing irritation and the risk of introducing bacteria. Stabilizing the catheter is a critical step in preventing catheter-associated urinary tract infections (CAUTIs).

B. Obtain urinary samples by disconnecting the tubing connections: Disconnecting the system increases the risk of introducing pathogens into the closed drainage system. Urine samples should be obtained using the designated sampling port with aseptic technique.

C. Loop the tubing so that it is lower than the collection bag: The tubing should flow downward in a straight, unobstructed line to the collection bag. Looping it lower than the bag can lead to urine backflow, increasing the risk of infection.

D. Keep the urinary bag at bladder level when ambulating: The drainage bag should always remain below bladder level to prevent urine backflow into the bladder. Keeping it at bladder level raises infection risk by allowing potentially contaminated urine to re-enter the bladder.

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A nurse is teaching a client who is postpartum about home safety for her newborn. Which of the following Instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B,D,C,A

Explanation

A nurse is planning care for a client who has a history of urinary tract infections (UTIs) and requires placement of an indwelling urinary catheter. Which of the following actions should the nurse take to help minimize the client's risk for acquiring a UTI?

Correct Answer is A

Explanation

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